PLASTIC AND RECONSTRUCTIVE SURGERY PC
PLASTIC AND RECONSTRUCTIVE SURGERY PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1215167580, based in Johnson City, TN. It is classified under Legal Medicine.
Getting there
The practice address on file is 1303 SUNSET DR STE 5, Johnson City, TN 37604. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD0000025117 | TN | Legal Medicine primary |
This provider holds licence MD0000025117 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9133273535
- Enrollment ID
- O20090819000844
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Legal Medicine covers
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. NUCC Health Care Provider Taxonomy, code 173000000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1215167580 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 21, 2009 |
| Last updated | Nov 13, 2019 |
| Status | Active |
| Practice address |
1303 SUNSET DR STE 5 Johnson City, TN 37604 (423) 328-9000 Fax (423) 328-9007 |
| Other identifiers |
3081165
· Medicaid (TN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 1 | 5 | 1 | 6 | 7 | 5 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 2 | 5 | 2 | 6 | 5 | 5 | 7 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.