ADVANCED PLASTIC SURGERY CENTER, L.L.C.
NPI 1447458591
Clinic/Center - Ambulatory Surgical in Prescott, AZ
NPI Status: Active since July 10, 2007
Contact Information
1615 PETROGLYPH POINT DR
PRESCOTT, AZ
ZIP 86301
Phone: (928) 777-0200
Fax: (928) 443-1117
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 03D2091884
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-19-2027
About ADVANCED PLASTIC SURGERY CENTER, L.L.C.
This page provides the complete NPI Profile along with additional information for Advanced Plastic Surgery Center, L.l.c., a provider established in Prescott, Arizona operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1447458591 assigned on July 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Dr. Mark D Fetter M.d. (Medical Director)
- NPI
- 1447458591
- Provider Name
- ADVANCED PLASTIC SURGERY CENTER, L.L.C.
- Entity Type
- Organization
- Location Address
- 1615 PETROGLYPH POINT DR PRESCOTT, AZ 86301
- Location Phone
- (928) 777-0200
- Location Fax
- (928) 443-1117
- Mailing Address
- 1615 PETROGLYPH POINT DR PRESCOTT, AZ 86301
- Mailing Phone
- (928) 777-0200
- Mailing Fax
- (928) 443-1117
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2007
- Last Update Date
- 08-16-2007
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
This service was performed 14 times for 14 patientsCLIA 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
- 03D2091884
- Facility Type
- Physician Office
- Certificate Effective Date
- February 20, 2025
- Certificate Expiration Date
- February 19, 2027
- Laboratory Director
- MARK D. FETTER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advanced Plastic Surgery Center, L.l.c. 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.
Reviews for ADVANCED PLASTIC SURGERY CENTER, L.L.C.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1447458591, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 79 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
PRESCOTT, AZ 86301
PRESCOTT, AZ 86301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447458591, enumerated as an "organization" on July 10, 2007.
The provider is located at 1615 PETROGLYPH POINT DR PRESCOTT, AZ 86301 and the phone number is (928) 777-0200.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
