PLASTIKOS PLASTIC AND RECONSTRUCTIVE SURGERY
NPI 1124046990
Plastic Surgery in Atlanta, GA
- Organization
- Plastic Surgery
About PLASTIKOS PLASTIC AND RECONSTRUCTIVE SURGERY
This page provides the complete NPI Profile along with additional information for Plastikos Plastic And Reconstructive Surgery, a provider established in Atlanta, Georgia operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1124046990 assigned on July 2006. The practitioner's primary taxonomy code is 208200000X with license number 31272 (GA). The provider is registered as an organization and their NPI record was last updated 19 years ago. Plastikos Plastic And Reconstructive Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Susan Kolb M.d. (Owner/plastic Surgeon)
- NPI
- 1124046990 Verify this NPI
- Provider Name
- PLASTIKOS PLASTIC AND RECONSTRUCTIVE SURGERY
- Entity Type
- Organization
- Location Address
- 4370 GEORGETOWN SQ ATLANTA, GA 30338
- Location Phone
- (770) 457-4677
- Location Fax
- (770) 457-4428
- Mailing Address
- 4370 GEORGETOWN SQ ATLANTA, GA 30338
- Mailing Phone
- (770) 457-4677
- Mailing Fax
- (770) 457-4428
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2006
- Last Update Date
- 12-28-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31272
- License State
- GA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2082S0105X | Allopathic & Osteopathic Physicians | Plastic Surgery | 31272 (GA) |
| 2 | 213EP1101X | Podiatric Medicine & Surgery Service Providers | Podiatrist | POD001047 (GA) |
| 3 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | POD001047 (GA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP2514 | MEDICARE PIN (08) | GA |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124046990, enumerated as an "organization" on July 18, 2006.
The provider is located at 4370 GEORGETOWN SQ ATLANTA, GA 30338 and the phone number is (770) 457-4677.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.