GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, INC.
NPI 1649510744
Surgery - Plastic and Reconstructive Surgery in Dothan, AL

Active since February 26, 2013
106 WESTSIDE DR, DOTHAN, AL 36303(850) 233-3376(850) 522-8354 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gulf Coast Plastic & Reconstructive Surgery, Inc. NPPES

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

GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, INC. (NPI 1649510744) is a healthcare organization registered as a plastic and reconstructive surgery in Dothan, Alabama and active in the NPI registry since February 2013. The organization lists Jon R Ward, President, as its authorized official.

NPPES Registry Identity

NPI1649510744
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameGULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, INC.
Location Address106 WESTSIDE DRDothan, AL 36303-1908
Mailing Address2505 Harrison AvePanama City, FL 32405-4423 · (850) 233-3376 · Fax (850) 522-8354
Fax(850) 522-8354
Organization SubpartNo
Authorized OfficialJon R WardPresident · (850) 233-3376
Enumeration DateFebruary 26, 2013
Last NPPES UpdateMarch 20, 2013
NPI 1649510744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition

A surgeon who specializes in plastic and reconstructive surgery.

106 WESTSIDE DR, Dothan, AL 36303

Other Identifiers 4

Medicare PINAPPLYING FORAL
MedicaidAPPLYING FORAL
Medicare PINAPPLYINGFL
MedicaidAPPLYING FORFL

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 7

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

Physician Assistant (Medical)
106 WESTSIDE DR
DOTHAN, AL 36303
Physician Assistant
106 WESTSIDE DR
DOTHAN, AL 36303
Physician Assistant
106 WESTSIDE DR
DOTHAN, AL 36303
Physician Assistant (Surgical)
106 WESTSIDE DR
DOTHAN, AL 36303
Nurse Practitioner (Family)
106 WESTSIDE DR
DOTHAN, AL 36303
Physician Assistant
106 WESTSIDE DR
DOTHAN, AL 36303
Dermatology (MOHS-Micrographic Surgery)
106 WESTSIDE DR
DOTHAN, AL 36303

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 Gulf Coast Plastic & Reconstructive Surgery, Inc.'s NPI number?

The NPI number for Gulf Coast Plastic & Reconstructive Surgery, Inc. is 1649510744. It was assigned to this organization in the NPPES registry on February 26, 2013.

Where is Gulf Coast Plastic & Reconstructive Surgery, Inc. located?

Gulf Coast Plastic & Reconstructive Surgery, Inc. is located at 106 Westside Dr, Dothan, AL 36303. The listed phone number is (850) 233-3376.

What is Gulf Coast Plastic & Reconstructive Surgery, Inc.'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 Gulf Coast Plastic & Reconstructive Surgery, Inc. was last updated on March 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.