CELESTIAL PLASTIC SURGERY - NPI 1619479201 - Surgery in College Park, GA

Q: What is Celestial Plastic And Reconstructive Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

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About Celestial Plastic Surgery NPPES

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

CELESTIAL PLASTIC SURGERY (NPI 1619479201) is a healthcare organization registered as a plastic and reconstructive surgery in College Park, Georgia and active in the NPI registry since February 2018. The organization lists Ruth Celestin, Plastic Surgeon, Owner, as its authorized official.

NPPES Registry Identity

NPI1619479201

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameCELESTIAL PLASTIC AND RECONSTRUCTIVE SURGERY

Location Address2230 GODBY RDCollege Park, GA 30349-5002

Mailing Address3645 Marketplace Blvd Ste 130-559East Point, GA 30344-5747 · (770) 845-0696

Phone(404) 268-0828

Fax(404) 393-1695

Organization SubpartNo

Authorized OfficialRuth CelestinPlastic Surgeon, Owner · (770) 845-0696

Enumeration DateFebruary 28, 2018

Last NPPES UpdateJune 1, 20224 updates tracked since enumeration

NPPES CertifiedJune 1, 2022

✔ NPI 1619479201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 70539 (GA)

2230 GODBY RD, College Park, GA 30349

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Other Names 1

Other NameCelestial Plastic Surgery

Other Identifiers 3

Medicaid003211917AGA

OtherDZ9723Rairoad Medicare Ptan

Medicaid1972708899NJ

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 2

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

DR. ANDREW JAMES NEWSOME DDS, PC, MAGD

Dentist (General Practice)

2230 GODBY RD
COLLEGE PARK, GA 30349

Fulton County (404) 768-2887

ANDREW J NEWSOME DDS, PC

Preferred Provider Organization

2230 GODBY RD
COLLEGE PARK, GA 30349

Fulton County (404) 768-2287

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 Celestial Plastic And Reconstructive Surgery's NPI number?

The NPI number for Celestial Plastic And Reconstructive Surgery is 1619479201. It was assigned to this organization in the NPPES registry on February 28, 2018.

Where is Celestial Plastic And Reconstructive Surgery located?

Celestial Plastic And Reconstructive Surgery is located at 2230 Godby Rd, College Park, GA 30349. The listed phone number is (404) 268-0828.

What is Celestial Plastic And Reconstructive Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Celestial Plastic And Reconstructive Surgery was last updated on June 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.