THE CLINIC OF PLASTIC SURGERY, P.A. (NPI# 1083798029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083798029 |
| Entity Type | Organization |
| Organization Name | THE CLINIC OF PLASTIC SURGERY, P.A. |
| Other Organization Name | THE CLINIC OF PLASTIC SURGERY |
| Practice Address |
1421 North State St Suite 504 Jackson MS 39202 |
| Practice Telephone | 6019699050 |
| Practice Fax Number | 6013542443 |
| Mailing Telephone | 6019699056 |
| Mailing Fax Number | 6013542443 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-01-06 |
| Authorized Official Name | DR. WILLIAM O THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 6019699050 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 5413 | MS | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| THE CLINIC OF PLASTIC SURGERY | Doing Business As Name - Organization |
| The Clinic of Plastic Surgery | Other Name - Individual/Organization |
| Street Address |
1421 NORTH STATE ST SUITE 504 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053410126 | Ophthalmic Plastic Surgery Specialists Pllc | Ophthalmology | 1421 North State St, Ste 304, Jackson, MS 39202 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1396095568 | Cascade Plastic Surgery Plc | Plastic Surgery | 1514 Fourth St, Jackson, MI 49203-4032 | 2012-09-14 |
| 1972890085 | Diana Marie Flis | Plastic Surgery | 3305 Spring Arbor Rd Ste 200, Jackson, MI 49203-3995 | 2011-07-09 |
| 1316167679 | Laura Beth Cooper | Plastic Surgery | 555 E Broadway Ave Ste 218, Jackson, WY 83001-8640 | 2007-04-27 |
| 1689738858 | Patricia L. Rooney, D.o. | Plastic Surgery | 2575 Spring Arbor Rd Ste 300, Jackson, MI 49203-3652 | 2006-12-21 |
| 1235223728 | Patricia L. Rooney, D.o. | Plastic Surgery | 2575 Spring Arbor Road, Suite 300, Jackson, MI 49203 | 2006-10-02 |
| 1831135755 | Marshall Ross Yellen | Plastic Surgery | 10 Lynoak Cv, Jackson, TN 38305-2800 | 2006-06-20 |
| 1003890179 | Fred Blackledge | Plastic Surgery | 764 Lakeland Dr, Jackson, MS 39216-4617 | 2005-12-02 |
| 1750386066 | David William Adcock | Plastic Surgery | 1850 Chadwick Dr Ste 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2005-06-15 |
| 1558903146 | Signature Plastic Surgery, Pllc | Plastic Surgery | 555 E Broadway Ave Ste 218, Jackson, WY 83001-8640 | 2019-10-15 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.