1841453594 NPI number — OASIS PLASTIC SURGERY, PLLC

Table of content: AMELIA GRACE TURVEY LPC (NPI 1285327304)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841453594 NPI number — OASIS PLASTIC SURGERY, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OASIS PLASTIC SURGERY, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841453594
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15029 N THOMPSON PEAK PKWY
Provider Second Line Business Mailing Address:
SUITE B111-603
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85260-2217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-264-6428
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9590 E IRONWOOD SQUARE DR
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85258-4581
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-264-6428
Provider Business Practice Location Address Fax Number:
480-264-6429
Provider Enumeration Date:
07/02/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GEOGHEGAN
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
480-264-6428

Provider Taxonomy Codes

  • Taxonomy code: 2086S0122X , with the licence number:  36143 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)