DBA THE PLASTIC SURGERY CENTER OF EAST TENNESSEE
NPI 1336165703
Plastic Surgery in Kingsport, TN

NPI Status: Active since July 15, 2006

Contact Information

1 SHERIDAN SQ
SUITE 200
KINGSPORT, TN
ZIP 37660
Phone: (423) 392-4884
Fax: (423) 392-4820

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  • Organization
  • Plastic Surgery

About DBA THE PLASTIC SURGERY CENTER OF EAST TENNESSEE

This page provides the complete NPI Profile along with additional information for Dba The Plastic Surgery Center Of East Tennessee, a provider established in Kingsport, Tennessee operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1336165703 assigned on July 2006. The practitioner's primary taxonomy code is 208200000X with license number 31934 (TN). The provider is registered as an organization and their NPI record was last updated 17 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 provider's is doing business as Dba The Plastic Surgery Center Of East Tennessee. The authorized official of this NPI record is Mrs. Christine M Pastrick R.n. (Office Administrator)

NPI
1336165703
Provider Legal Name
GREGORY H PASTRICK PC
Other Organization Name
DBA THE PLASTIC SURGERY CENTER OF EAST TENNESSEE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1 SHERIDAN SQ SUITE 200 KINGSPORT, TN 37660
Location Phone
(423) 392-4884
Location Fax
(423) 392-4820
Mailing Address
1 SHERIDAN SQ SUITE 200 KINGSPORT, TN 37660
Mailing Phone
(423) 392-4884
Mailing Fax
(423) 392-4820
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2006
Last Update Date
12-11-2008
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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

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
31934
License State
TN
Taxonomy Description
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. CHRISTINE M PASTRICK R.N.

Authorized Official Title
OFFICE ADMINISTRATOR
Authorized Official Phone
(423) 392-4878

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3712610MEDICARE PIN (08)TN 
4046491OTHER (01)TNBLUE CROSS BLUE SHIELD
HO7754MEDICARE UPIN (02)TN 

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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.
1336165703
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366261070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 6 + 1 + 0 + 7 + 0 + 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 1336165703 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073577318DR. GREGORY H PASTRICK M.D., P.C.
Individual
Plastic Surgery1 SHERIDAN SQ SUITE 200
KINGSPORT, TN 37660
(423) 932-4884
1558511246JUDITH J. FISCHER, MD
Organization
Clinic/Center1 SHERIDAN SQ 105
KINGSPORT, TN 37660
(423) 247-4201
1144284076 BEATRIZ MIRANDA PT
Individual
Physical Therapist1 SHERIDAN SQ STE 100
KINGSPORT, TN 37660
(423) 230-0194
1487063236MR. MARSHALL MCMURRAY DPT
Individual
Physical Therapist1 SHERIDAN SQ
KINGSPORT, TN 37660
(423) 230-0194
1851828503 MEGHAN KEITA DPT, PT
Individual
Physical Therapist1 SHERIDAN SQ STE100
KINGSPORT, TN 37660
(423) 230-0194
1124899158 SOPHIA MARIE PASTRICK FNP-C
Individual
Nurse Practitioner (Family)1 SHERIDAN SQ
KINGSPORT, TN 37660
(423) 392-4884

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336165703, enumerated in the NPI registry as an "organization" on July 15, 2006

The provider is located at 1 Sheridan Sq Suite 200 Kingsport, Tn 37660 and the phone number is (423) 392-4884

This medical organization specializes in Plastic Surgery with taxonomy code 208200000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 15, 2006. 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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