Paducah Plastic And Reconstructive Surgery
Surgery, Plastic and Reconstructive Surgery in Paducah, KY. Organization (NPI-2).
NPI number1962070334
StatusActive
Last updated in NPPESApr 6, 2022
Details
- NPI
- 1962070334
- Entity type
- Organization (NPI-2)
- Legal business name
- Paducah Plastic And Reconstructive Surgery
- Organization subpart
- No
- Enumeration date
- Jun 14, 2021
- Certification date
- Apr 6, 2022
- Last updated
- Apr 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
Practice location
2605 Kentucky Ave Ste 100Paducah, KY 42003-3800
Phone 270-709-1984 · Fax 270-933-1047
Mailing address
2605 Kentucky Ave Ste 100Paducah, KY 42003-3800
Phone 270-709-1984 · Fax 270-933-1047
Authorized official
Daniel E Verbist
Member/Manager
2707091984
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