PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY
NPI 1962070334
Surgery - Plastic and Reconstructive Surgery in Paducah, KY

Q: What is Paducah 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.

Active since June 14, 2021

2605 KENTUCKY AVE STE 100, PADUCAH, KY 42003(270) 709-1984(270) 933-1047 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2022, Nov 23, 2021, Nov 1, 2021 and 2 more (5 updates tracked since 2021).

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About Paducah Plastic And Reconstructive Surgery NPPES

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

PADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY (NPI 1962070334) is a healthcare organization registered as a plastic and reconstructive surgery in Paducah, Kentucky and active in the NPI registry since June 2021. The organization lists Daniel E Verbist, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1962070334

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NamePADUCAH PLASTIC AND RECONSTRUCTIVE SURGERY

Location Address2605 KENTUCKY AVE STE 100Paducah, KY 42003-3800

Mailing Address2605 Kentucky Ave Ste 100Paducah, KY 42003-3800 · (270) 709-1984 · Fax (270) 933-1047

Phone(270) 709-1984

Fax(270) 933-1047

Organization SubpartNo

Authorized OfficialDaniel E VerbistMember/manager · (270) 709-1984

Enumeration DateJune 14, 2021

Last NPPES UpdateApril 6, 20225 updates tracked since enumeration

NPPES CertifiedApril 6, 2022

✔ NPI 1962070334 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.

2605 KENTUCKY AVE STE 100, Paducah, KY 42003

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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

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 Paducah Plastic And Reconstructive Surgery's NPI number?

The NPI number for Paducah Plastic And Reconstructive Surgery is 1962070334. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Paducah Plastic And Reconstructive Surgery located?

Paducah Plastic And Reconstructive Surgery is located at 2605 Kentucky Ave Ste 100, Paducah, KY 42003. The listed phone number is (270) 709-1984.

What is Paducah 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 Paducah Plastic And Reconstructive Surgery was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.