Provider Demographics
NPI:1750411393
Name:PLASTIC SURGERY CONSULTANTS INC
Entity type:Organization
Organization Name:PLASTIC SURGERY CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:HUNYADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-291-2000
Mailing Address - Street 1:2121 HUGHES DR
Mailing Address - Street 2:STE 920
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-5140
Mailing Address - Country:US
Mailing Address - Phone:419-291-2000
Mailing Address - Fax:419-291-2017
Practice Address - Street 1:2121 HUGHES DR
Practice Address - Street 2:STE 920
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-5140
Practice Address - Country:US
Practice Address - Phone:419-291-2000
Practice Address - Fax:419-291-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35049357174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0235909Medicaid
OH9285861Medicare ID - Type Unspecified