COMMONWEALTH PLASTIC SURGERY, PLLC
NPI 1952720880
Plastic Surgery in Lexington, KY

Active since April 08, 2014CLIA 18D2215812 · Waiver
715 SHAKER DR STE 100, LEXINGTON, KY 40504(859) 277-9435(859) 277-8852 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Commonwealth Plastic Surgery, Pllc NPPES

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

COMMONWEALTH PLASTIC SURGERY, PLLC (NPI 1952720880) is a healthcare organization registered as a plastic surgery in Lexington, Kentucky and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Jared Christian Nimtz, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1952720880
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameCOMMONWEALTH PLASTIC SURGERY, PLLC
Location Address715 SHAKER DR STE 100Lexington, KY 40504-3674
Mailing Address715 Shaker Dr Ste 100Lexington, KY 40504-3674 · (859) 277-9435 · Fax (859) 277-8852
Fax(859) 277-8852
Organization SubpartNo
Authorized OfficialJared Christian NimtzManaging Partner · (859) 420-3256
Enumeration DateApril 8, 2014
Last NPPES UpdateOctober 17, 2018
NPI 1952720880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in KY · 46515
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.

715 SHAKER DR STE 100, Lexington, KY 40504

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2215812

Commonwealth Plastic Surgery · Lexington, KY
Active · expires Mar 7, 2027
CLIA Number18D2215812
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Jared C. Nimtz
Laboratory Phone(859) 277-9435
Laboratory LocationCommonwealth Plastic Surgery715 Shaker Dr, Suite 101, Lexington, KY 40504
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Commonwealth Plastic Surgery, PLLC's NPI number?

The NPI number for Commonwealth Plastic Surgery, PLLC is 1952720880. It was assigned to this organization in the NPPES registry on April 8, 2014.

Where is Commonwealth Plastic Surgery, PLLC located?

Commonwealth Plastic Surgery, PLLC is located at 715 Shaker Dr Ste 100, Lexington, KY 40504. The listed phone number is (859) 277-9435.

What is Commonwealth Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Commonwealth Plastic Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2215812) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Commonwealth Plastic Surgery, PLLC was last updated on October 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.