MARIETTA PLASTIC SURGERY
NPI 1316165723
Surgery - Plastic and Reconstructive Surgery in Marietta, GA

NPI Status: Active since April 23, 2007

Contact Information

823 CAMPBELL HILL ST NW
MARIETTA, GA
ZIP 30060
Phone: (770) 425-0118
Fax: (770) 426-1626

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  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery

About MARIETTA PLASTIC SURGERY

This page provides the complete NPI Profile along with additional information for Marietta Plastic Surgery, a provider established in Marietta, Georgia operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1316165723 assigned on April 2007. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Donna Marie Bockhorst (Practice Administrator)

NPI
1316165723
Provider Name
MARIETTA PLASTIC SURGERY
Entity Type
Organization
Location Address
823 CAMPBELL HILL ST NW MARIETTA, GA 30060
Location Phone
(770) 425-0118
Location Fax
(770) 426-1626
Mailing Address
823 CAMPBELL HILL ST NW MARIETTA, GA 30060
Mailing Phone
(770) 425-0118
Mailing Fax
(770) 426-1626
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2007
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNA MARIE BOCKHORST

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(770) 425-0118

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316165723
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326261074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 2 + 6 + 1 + 0 + 7 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1316165723 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437114840DR. MICHAEL JEFFERY MCNEEL M.D.
Individual
Plastic Surgery823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
(770) 425-0118
1649235045DR. THADDEUS SEBASTIAN FABIAN M.D.
Individual
Plastic Surgery823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
(770) 425-0118
1013972959DR. DONALD KEITH WEST M.D.
Individual
Plastic Surgery823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
(770) 425-0118
1922042902DR. MURIEL KEITH HANNA JR. M.D.
Individual
Plastic Surgery823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
(770) 425-0118
1912560343 DANI CLARK NP-C
Individual
Nurse Practitioner (Family)823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
(770) 425-0118
1417116567MARIETTA PLASTIC SURGERY
Organization
Clinic/Center (Ambulatory Surgical)823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
(770) 425-0118
1275705188DR. ATANU BISWAS MD
Individual
Plastic Surgery823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
(770) 425-0118
1033942644 NATALIE MCNEEL PA-C
Individual
Physician Assistant823 CAMPBELL HILL ST NW
MARIETTA, GA 30060
(770) 425-0118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316165723, enumerated in the NPI registry as an "organization" on April 23, 2007

The provider is located at 823 Campbell Hill St Nw Marietta, Ga 30060 and the phone number is (770) 425-0118

This medical organization specializes in Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery

This NPI record was last updated on April 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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