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INDIAN HILLS PLASTIC SURGERY PC
NPI 1104555770
Plastic Surgery in Northport, AL

Active since June 08, 2022
3601 WATERMELON RD, NORTHPORT, AL 35473(205) 333-4661 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indian Hills Plastic Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIAN HILLS PLASTIC SURGERY PC (NPI 1104555770) is a healthcare organization registered as a plastic surgery in Northport, Alabama and active in the NPI registry since June 2022. The organization lists Daniel Clay Conville, Director, Physician Services, as its authorized official.

NPPES Registry Identity

NPI1104555770
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameINDIAN HILLS PLASTIC SURGERY PC
Location Address3601 WATERMELON RDNorthport, AL 35473-5138
Mailing Address3901 Greensboro Ave Ste ATuscaloosa, AL 35405-3771 · (205) 759-6165
Phone(205) 333-4661
Organization SubpartNo
Authorized OfficialDaniel Clay ConvilleDirector, Physician Services · (205) 759-6165
Enumeration DateJune 8, 2022
NPPES CertifiedJune 8, 2022
✔ NPI 1104555770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
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.
3601 WATERMELON RD, Northport, AL 35473
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indian Hills Plastic Surgery PC's NPI number?

The NPI number for Indian Hills Plastic Surgery PC is 1104555770. It was assigned to this organization in the NPPES registry on June 8, 2022.

Where is Indian Hills Plastic Surgery PC located?

Indian Hills Plastic Surgery PC is located at 3601 Watermelon Rd, Northport, AL 35473. The listed phone number is (205) 333-4661.

What is Indian Hills Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Indian Hills Plastic Surgery PC was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.