1. Home
  2. Directory
  3. Mississippi
  4. Tupelo
  5. Plastic Surgery
  6. NPI Profile

TUPELO PLASTIC SURGERY CLINIC OF TUPELO PA
NPI 1649381104
Plastic Surgery in Tupelo, MS

Active since August 31, 2006
4381 S EASON BLVD STE 101, LONGTOWN MEDICAL PARK, TUPELO, MS 38801(662) 377-6630(662) 377-6635 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tupelo Plastic Surgery Clinic Of Tupelo Pa NPPES

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

TUPELO PLASTIC SURGERY CLINIC OF TUPELO PA (NPI 1649381104) is a healthcare organization registered as a plastic surgery in Tupelo, Mississippi and active in the NPI registry since August 2006. The organization lists Robert Buckley, Md, as its authorized official.

NPPES Registry Identity

NPI1649381104
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTUPELO PLASTIC SURGERY CLINIC OF TUPELO PA
Location Address4381 S EASON BLVD STE 101, LONGTOWN MEDICAL PARKTupelo, MS 38801-6586
Mailing Address450 E President AveTupelo, MS 38801-5599 · (662) 377-4685 · Fax (662) 377-2755
Phone(662) 377-6630
Fax(662) 377-6635
Organization SubpartNo
Authorized OfficialRobert BuckleyMd · (662) 377-6630
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 29, 2008
✔ NPI 1649381104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
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.
4381 S EASON BLVD STE 101, Tupelo, MS 38801
Open in Google Maps ↗

Other Identifiers 1

Medicaid00110707MS

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.

DR. RAAJ GHOSAL DO
Physical Medicine & Rehabilitation
4381 S EASON BLVD STE 101
TUPELO, MS 38801
Lee County (662) 377-6609

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 Tupelo Plastic Surgery Clinic Of Tupelo PA's NPI number?

The NPI number for Tupelo Plastic Surgery Clinic Of Tupelo PA is 1649381104. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Tupelo Plastic Surgery Clinic Of Tupelo PA located?

Tupelo Plastic Surgery Clinic Of Tupelo PA is located at 4381 S Eason Blvd Ste 101 Longtown Medical Park, Tupelo, MS 38801. The listed phone number is (662) 377-6630.

What is Tupelo Plastic Surgery Clinic Of Tupelo PA'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 Tupelo Plastic Surgery Clinic Of Tupelo PA was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.