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:
Authorized official contact:
Name: Simmons, Oliver Pope Doctor of Medicine (MD)
Phone: (803) 421-9208
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447619218 | NPPES |
| South Carolina | MEDICAID | 331867 |
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