SIGNATURE PLASTIC SURGERY, PLLC (NPI# 1558903146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558903146 |
| Entity Type | Organization |
| Organization Name | SIGNATURE PLASTIC SURGERY, PLLC |
| Practice Address |
555 E Broadway Ave Ste 218 Jackson WY 83001-8640 |
| Mailing Address |
Po Box 1148 Jackson WY 83001-1148 |
| Practice Telephone | 3076993115 |
| Practice Fax Number | 8632089210 |
| Mailing Telephone | 3076993115 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. LAURA BETH COOPER (PRESIDENT / OWNER) |
| Authorized Official Telephone | 3076993115 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2305 Coronado St, Idaho Falls, ID 834047407 | 3076993115 |
| Street Address |
555 E BROADWAY AVE STE 218 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316167679 | Laura Beth Cooper | Plastic Surgery | 555 E Broadway Ave Ste 218, Jackson, WY 83001-8640 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| 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 |
| 1003306135 | Abelardo Medina | Plastic Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2018-05-15 |
| 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.