PLASTIC AND RECONSTRUCTIVE SURGERY PC
NPI 1215167580
Legal Medicine in Johnson City, TN

Active since July 21, 2009
1303 SUNSET DR STE 5, JOHNSON CITY, TN 37604(423) 328-9000(423) 328-9007 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 13, 2019, Aug 14, 2019 (2 updates tracked since 2019).

About Plastic And Reconstructive Surgery Pc NPPES

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

PLASTIC AND RECONSTRUCTIVE SURGERY PC (NPI 1215167580) is a healthcare organization registered as a legal medicine in Johnson City, Tennessee and active in the NPI registry since July 2009. The organization lists Laurie P Webb, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1215167580
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NamePLASTIC AND RECONSTRUCTIVE SURGERY PC
Location Address1303 SUNSET DR STE 5Johnson City, TN 37604-7905
Mailing Address1303 Sunset Dr Ste 5Johnson City, TN 37604-7905 · (423) 328-9000 · Fax (423) 328-9007
Fax(423) 328-9007
Organization SubpartNo
Authorized OfficialLaurie P WebbInsurance Manager · (423) 328-9000
Enumeration DateJuly 21, 2009
Last NPPES UpdateNovember 13, 20192 updates tracked since enumeration
NPI 1215167580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License Licensed in TN · MD0000025117
Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

1303 SUNSET DR STE 5, Johnson City, TN 37604

Other Identifiers 1

Medicaid3081165TN

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

The NPI number assigned to this healthcare provider is 1215167580, enumerated as an "organization" on July 21, 2009.

The provider is located at 1303 SUNSET DR STE 5 JOHNSON CITY, TN 37604 and the phone number is (423) 328-9000.

Legal Medicine with taxonomy code 173000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.