Pura Plastic Surgery

LBN: Pura Plastic Surgery
Pura Plastic Surgery is an health care organization with primary practice located at 5351 Sunset Blvd , Lexington SC 29072-9159. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is the primary health care specialty. Pura Plastic Surgery can be contacted via phone (803) 490-7644, or through Simmons, Oliver Pope via phone (803) 421-9208.

Contact Information

Primary practice address
5351 Sunset Blvd Lexington SC 29072-9159
Phone: (803) 490-7644
Fax: (803) 490-7645
Website:
Map and Directions
Authorized official contact:
Name: Simmons, Oliver Pope Doctor of Medicine (MD)
Phone: (803) 421-9208

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 33186 South Carolina
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 33186 South Carolina
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 33186 South Carolina
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 33186 South Carolina
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 33186 South Carolina
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 33186 South Carolina

Profile Details

NPI number 1447619218
LBN Legal business name Pura Plastic Surgery
DBA Doing business as
Authorized official Simmons, Oliver Pope Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2016
Last updated Jan 13th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447619218 NPPES
South Carolina MEDICAID 331867

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