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BERKSHIRE PLASTIC SURGEONS PLLC
NPI 1649373929
Plastic Surgery in Tullahoma, TN

Active since September 05, 2006
105 LEDFORD MILL RD, SUITE B, TULLAHOMA, TN 37388(931) 841-3311(931) 841-3314 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berkshire Plastic Surgeons Pllc NPPES

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

BERKSHIRE PLASTIC SURGEONS PLLC (NPI 1649373929) is a healthcare organization registered as a plastic surgery in Tullahoma, Tennessee and active in the NPI registry since September 2006. The organization lists Paul Michael Haidak, Owner, as its authorized official.

NPPES Registry Identity

NPI1649373929
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameBERKSHIRE PLASTIC SURGEONS PLLC
Location Address105 LEDFORD MILL RD, SUITE BTullahoma, TN 37388-8261
Mailing AddressPo Box 220Tullahoma, TN 37388 · (931) 841-3311 · Fax (931) 841-3314
Phone(931) 841-3311
Fax(931) 841-3314
Organization SubpartNo
Authorized OfficialPaul Michael HaidakOwner · (931) 841-3311
Enumeration DateSeptember 5, 2006
Last NPPES UpdateSeptember 13, 2013
✔ NPI 1649373929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in TN · MD44645
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.
105 LEDFORD MILL RD, Tullahoma, TN 37388
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Other Identifiers 1

Medicare UPINA68240MA

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 2

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

TOTAL HEALTH CARE ASSOCIATES, PLLC
Clinic/Center
105 LEDFORD MILL RD, STE B
TULLAHOMA, TN 37388
Coffee County (931) 222-4310
DR. PAUL M HAIDAK MD
General Practice
105 LEDFORD MILL RD, SUITE B
TULLAHOMA, TN 37388
Coffee County (931) 841-3311

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 Berkshire Plastic Surgeons PLLC's NPI number?

The NPI number for Berkshire Plastic Surgeons PLLC is 1649373929. It was assigned to this organization in the NPPES registry on September 5, 2006.

Where is Berkshire Plastic Surgeons PLLC located?

Berkshire Plastic Surgeons PLLC is located at 105 Ledford Mill Rd Suite B, Tullahoma, TN 37388. The listed phone number is (931) 841-3311.

What is Berkshire Plastic Surgeons PLLC'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 Berkshire Plastic Surgeons PLLC was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.