TEXOMA PLASTIC SURGERY, P.A.
NPI 1578882809
Plastic Surgery in Wichita Falls, TX

NPI Status: Active since May 26, 2010

Contact Information

2200 KELL BLVD
WICHITA FALLS, TX
ZIP 76309
Phone: (940) 264-2600
Fax: (940) 264-2601

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  • Organization
  • Plastic Surgery

About TEXOMA PLASTIC SURGERY, P.A.

This page provides the complete NPI Profile along with additional information for Texoma Plastic Surgery, P.a., a provider established in Wichita Falls, Texas operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1578882809 assigned on May 2010. The practitioner's primary taxonomy code is 208200000X with license number L2679 (TX). The provider is registered as an organization and their NPI record was last updated 11 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 Dr. Phillip J Stephan Md (Principle)

NPI
1578882809
Provider Name
TEXOMA PLASTIC SURGERY, P.A.
Entity Type
Organization
Location Address
2200 KELL BLVD WICHITA FALLS, TX 76309
Location Phone
(940) 264-2600
Location Fax
(940) 264-2601
Mailing Address
PO BOX 1011 WICHITA FALLS, TX 76307
Mailing Phone
(214) 522-0210
Mailing Fax
(940) 264-2601
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2010
Last Update Date
03-05-2014
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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.
L2679
License State
TX
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.

*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

DR. PHILLIP J STEPHAN MD

Authorized Official Title
PRINCIPLE
Authorized Official Phone
(214) 415-6320

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
H88385MEDICARE UPIN (02)TX 

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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.
1578882809
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148168480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 6 + 8 + 4 + 8 + 0 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1578882809 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316926900MRS. CORENE CROUSE RN FNP
Individual
Nurse Practitioner (Family)2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 761-2833
1053387399 PHILLIP JOHN STEPHAN M.D.
Individual
Plastic Surgery2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 264-2600
1972911444JAMES R. GREEN D.D.S,PA
Organization
Dentist2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 322-2252
1700288560 DEIRDRE ROBERTSON CST
Individual
Specialist/Technologist, Other (Surgical Technologist)2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 264-2600
1740671429TEXOMA SURGERY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 264-2600
1912442757PRO-SOM, PLLC
Organization
Anesthesiology2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 764-2600
1114434156 LAURA KAY MEREDITH
Individual
Specialist/Technologist, Other (Surgical Assistant)2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 264-2600
1184004996DR. DUSTIN E VAN TASSELL D.D.S.
Individual
Dentist (General Practice)2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 322-2252
1770241416WICHITA FALLS FAMILY DENTAL PLLC
Organization
Clinic/Center (Dental)2200 KELL BLVD
WICHITA FALLS, TX 76309
(940) 322-2252

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578882809, enumerated in the NPI registry as an "organization" on May 26, 2010

The provider is located at 2200 Kell Blvd Wichita Falls, Tx 76309 and the phone number is (940) 264-2600

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

The provider might be accepting Accepts: Medicare and Medicaid. 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 May 26, 2010. 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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