Provider Demographics
NPI:1487840260
Name:ARTISAN PLASTIC SURGERY P.C.
Entity type:Organization
Organization Name:ARTISAN PLASTIC SURGERY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:REGIS
Authorized Official - Last Name:JOHNS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:724-830-9305
Mailing Address - Street 1:6154 STATE ROUTE 30
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-830-9305
Mailing Address - Fax:724-830-9305
Practice Address - Street 1:6154 STATE ROUTE 30
Practice Address - Street 2:SUITE 100
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-830-9305
Practice Address - Fax:724-830-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty