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GENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C.
NPI 1174793277
Plastic Surgery in Edmond, OK

Active since March 04, 2008
2505 S KELLY AVE, EDMOND, OK 73013(405) 340-9949 Get Directions Write a Review

NPPES record last updated: November 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Plastic Surgery And Medical Spa Inc.,p.c. NPPES

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

GENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C. (NPI 1174793277) is a healthcare organization registered as a plastic surgery in Edmond, Oklahoma and active in the NPI registry since March 2008. The organization lists Jayesh Panchal, Physician, as its authorized official.

NPPES Registry Identity

NPI1174793277
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameGENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C.
Location Address2505 S KELLY AVEEdmond, OK 73013
Mailing Address2505 S Kelly AveEdmond, OK 73013-5796 · (405) 340-9949
Phone(405) 340-9949
Organization SubpartNo
Authorized OfficialJayesh PanchalPhysician · (405) 340-9949
Enumeration DateMarch 4, 2008
Last NPPES UpdateNovember 29, 2011
✔ NPI 1174793277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in OK · 20347
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.
2505 S KELLY AVE, Edmond, OK 73013
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Other Identifiers 1

Medicare PIN700522163OK

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAYESH PANCHAL MD
Plastic Surgery
2505 S KELLY AVE
EDMOND, OK 73013
Oklahoma County (405) 340-9949

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 Genesis Plastic Surgery And Medical Spa Inc.,p.C.'s NPI number?

The NPI number for Genesis Plastic Surgery And Medical Spa Inc.,p.C. is 1174793277. It was assigned to this organization in the NPPES registry on March 4, 2008.

Where is Genesis Plastic Surgery And Medical Spa Inc.,p.C. located?

Genesis Plastic Surgery And Medical Spa Inc.,p.C. is located at 2505 S Kelly Ave, Edmond, OK 73013. The listed phone number is (405) 340-9949.

What is Genesis Plastic Surgery And Medical Spa Inc.,p.C.'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 Genesis Plastic Surgery And Medical Spa Inc.,p.C. was last updated on November 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.