MID HUDSON PLASTIC SURGERY PC
NPI 1144215161
Plastic Surgery in Kingston, NY
- Organization
- Plastic Surgery
- CLIA Number: 33D0999702
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-23-2028
About MID HUDSON PLASTIC SURGERY PC
This page provides the complete NPI Profile along with additional information for Mid Hudson Plastic Surgery Pc, a provider established in Kingston, New York operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1144215161 assigned on September 2005. The practitioner's primary taxonomy code is 208200000X with license number 2017201 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Thomas Hagerty Md (Group Owner)
- NPI
- 1144215161 Verify this NPI
- Provider Name
- MID HUDSON PLASTIC SURGERY PC
- Entity Type
- Organization
- Location Address
- 117 MARYS AVE SUITE 204 KINGSTON, NY 12401
- Location Phone
- (845) 338-0789
- Location Fax
- (845) 334-9150
- Mailing Address
- 117 MARYS AVE SUITE 204 KINGSTON, NY 12401
- Mailing Phone
- (845) 338-0789
- Mailing Fax
- (845) 334-9150
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2005
- Last Update Date
- 09-21-2016
- 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.
- 2017201
- License State
- NY
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0999702
- Facility Type
- Physician Office
- Certificate Effective Date
- February 24, 2026
- Certificate Expiration Date
- February 23, 2028
- Laboratory Director
- THOMAS A. HAGERTY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mid Hudson Plastic Surgery Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
KINGSTON, NY 12401
KINGSTON, NY 12401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144215161, enumerated as an "organization" on September 15, 2005.
The provider is located at 117 MARYS AVE SUITE 204 KINGSTON, NY 12401 and the phone number is (845) 338-0789.
Plastic Surgery with taxonomy code 208200000X.
