Active NPI 1386975506 Individual Practitioner Male Practitioner

Dr. Kevin Donal John Murphy , MD MCH FRCS(PLAST)

Surgery - Plastic and Reconstructive Surgery • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Murphy, MD MCH FRCS(PLAST) is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Dallas, TX. Practice services are available at 17218 PRESTON RD STE 2000 under active NPI credentials.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, removal of muscle and/or tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17218 Preston Rd Ste 2000

Dallas, TX 752524018

Telephone 8778667123

Associated Practice Facility / Clinic

🏢 Vohra Post Acute Care Physicians Of Texas, Pllc Facility NPI 1821424789

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.4 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

49 Specialists

Practicing in Dallas, TX (402 Statewide)

Telehealth Adoption Rate

6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	396	93	$336.90	$116.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	250	87	$174.94	$73.86
11042 Removal of skin and tissue, 20.0 sq cm or less	232	73	$336.90	$49.01
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	219	67	$574.74	$219.24
97597 Removal of tissue from wound, 20.0 sq cm or less	211	65	$264.42	$99.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	173	70	$174.94	$73.90
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	169	50	$574.74	$140.44
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	83	61	$94.54	$39.97
17250 Application of chemical to stop tissue regrowth in wound	82	17	$230.66	$55.55
11044 Removal of bone, 20.0 sq cm or less	79	32	$750.90	$311.23
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	73	73	$308.50	$131.13
11047 Removal of bone, each additional 20.0 sq cm or less	68	12	$284.86	$99.34
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	67	19	$172.32	$73.67
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	65	50	$252.10	$107.47
11044 Removal of bone, 20.0 sq cm or less	63	26	$750.90	$227.93
97598 Removal of tissue from wound, each additional 20.0 sq cm	55	16	$112.46	$44.67
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	53	53	$308.50	$131.61
17250 Application of chemical to stop tissue regrowth in wound	38	13	$230.66	$20.60
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	37	31	$94.54	$39.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	25	$252.10	$106.80
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	35	12	$172.32	$54.77
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	14	$357.52	$152.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	338	93	$340.51	$109.53
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	285	70	$582.36	$215.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	263	90	$177.06	$75.70
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	206	71	$253.52	$108.37
11042 Removal of skin and tissue, 20.0 sq cm or less	140	53	$340.50	$45.28
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	118	41	$582.36	$132.12
17250 Application of chemical to stop tissue regrowth in wound	108	30	$236.07	$58.20
11044 Removal of bone, 20.0 sq cm or less	101	35	$765.54	$315.59
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	78	42	$253.58	$107.54
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	74	60	$94.69	$39.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	69	41	$176.93	$74.52
11044 Removal of bone, 20.0 sq cm or less	51	19	$765.54	$230.62
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	49	17	$181.46	$73.81
17250 Application of chemical to stop tissue regrowth in wound	45	16	$236.12	$20.30
97597 Removal of tissue from wound, 20.0 sq cm or less	43	17	$244.00	$103.76
11047 Removal of bone, each additional 20.0 sq cm or less	41	14	$302.66	$122.74
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	23	$313.42	$132.69
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	22	19	$94.72	$39.64
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	19	$313.42	$134.45
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	18	18	$189.48	$80.87
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$189.48	$79.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	648	153	$339.66	$117.17
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	342	76	$600.90	$230.71
11042 Removal of skin and tissue, 20.0 sq cm or less	320	110	$339.66	$48.91
17250 Application of chemical to stop tissue regrowth in wound	294	89	$239.76	$58.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	249	100	$164.76	$69.11
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	237	76	$600.90	$149.09
17250 Application of chemical to stop tissue regrowth in wound	160	58	$239.76	$21.83
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	158	91	$215.06	$91.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	129	60	$164.76	$69.19
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	87	65	$103.86	$43.59
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	83	25	$193.60	$55.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	66	50	$215.06	$91.01
11044 Removal of bone, 20.0 sq cm or less	42	19	$799.78	$314.42
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	40	18	$193.60	$74.45
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	34	34	$211.56	$90.03
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	34	34	$211.56	$89.57
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	30	26	$103.86	$43.17
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	27	15	$106.70	$41.72
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	26	14	$106.70	$26.08
11044 Removal of bone, 20.0 sq cm or less	25	18	$799.78	$227.33
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$304.74	$129.80
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$304.74	$131.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	1,522	221	$340.07	$113.77
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	755	135	$601.47	$231.54
17250 Application of chemical to stop tissue regrowth in wound	609	126	$240.12	$53.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	497	145	$164.83	$69.04
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	437	151	$215.31	$91.32
11042 Removal of skin and tissue, 20.0 sq cm or less	314	121	$339.87	$49.07
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	197	67	$601.17	$147.83
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	168	35	$194.05	$75.00
17250 Application of chemical to stop tissue regrowth in wound	137	53	$239.76	$20.37
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	121	91	$104.00	$44.06
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	119	24	$193.60	$55.86
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	116	28	$106.70	$41.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	114	66	$164.86	$68.97
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	91	64	$215.06	$91.66
11044 Removal of bone, 20.0 sq cm or less	85	31	$799.78	$317.75
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	69	12	$141.39	$59.40
11047 Removal of bone, each additional 20.0 sq cm or less	64	12	$319.20	$123.47
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	48	48	$212.24	$90.48
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	38	14	$106.70	$26.08
11044 Removal of bone, 20.0 sq cm or less	27	14	$799.78	$224.49
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	27	$304.74	$126.15
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	23	23	$212.27	$88.87
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	22	22	$103.86	$43.56
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	18	17	$319.77	$134.86
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$304.74	$131.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	934	237	$323.96	$110.41
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	500	117	$586.34	$240.65
17250 Application of chemical to stop tissue regrowth in wound	494	107	$222.74	$50.12
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	415	131	$216.34	$94.42
11042 Removal of skin and tissue, 20.0 sq cm or less	288	96	$323.96	$52.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	284	116	$164.26	$71.43
17250 Application of chemical to stop tissue regrowth in wound	181	50	$222.74	$20.18
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	133	55	$586.34	$161.09
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	107	37	$106.14	$42.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	97	50	$216.34	$93.73
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	95	79	$104.12	$45.27
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	95	24	$190.02	$77.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	81	47	$164.26	$70.83
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	77	18	$190.02	$58.46
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	51	15	$106.14	$27.44
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	42	42	$213.86	$92.66
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	27	27	$213.86	$93.06
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	23	$304.10	$133.24
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	22	19	$317.92	$138.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$93.58	$41.29
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$304.10	$132.01
G0407 Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth	16	15	$184.20	$74.29
43762 Replacement of stomach stoma tube	15	12	$613.80	$221.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	14	13	$104.12	$44.75
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$393.52	$169.19
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$246.32	$106.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	916	211	$309.60	$100.23
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	560	127	$565.36	$234.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	289	115	$161.10	$69.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	285	119	$213.92	$92.36
17250 Application of chemical to stop tissue regrowth in wound	269	73	$210.80	$49.36
11042 Removal of skin and tissue, 20.0 sq cm or less	186	62	$309.60	$46.10
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	130	30	$102.04	$42.26
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	124	37	$565.36	$159.23
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	75	19	$102.04	$27.19
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	71	14	$181.74	$57.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	65	32	$161.10	$69.62
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	63	50	$102.68	$44.50
17250 Application of chemical to stop tissue regrowth in wound	61	16	$210.80	$20.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	56	30	$213.92	$92.72
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	52	20	$181.74	$74.71
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	33	33	$210.16	$91.26
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	32	32	$302.98	$131.93
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	27	19	$315.96	$137.33
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	27	27	$302.98	$131.87
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	15	15	$102.68	$44.39
99306 Initial nursing facility visit, typically 45 minutes per day	15	15	$386.50	$168.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	618	130	$298.52	$101.83
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	309	86	$560.62	$233.52
11042 Removal of skin and tissue, 20.0 sq cm or less	251	81	$298.52	$45.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	230	87	$162.88	$70.22
17250 Application of chemical to stop tissue regrowth in wound	226	40	$208.62	$46.78
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	188	61	$560.62	$158.67
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	177	86	$214.31	$92.85
17250 Application of chemical to stop tissue regrowth in wound	93	28	$208.62	$20.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	80	45	$162.88	$70.19
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	79	58	$104.52	$45.18
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	70	17	$101.95	$42.16
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	58	16	$181.54	$57.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	58	42	$214.60	$92.74
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	51	51	$303.72	$131.88
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	41	12	$181.54	$74.61
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	28	28	$303.72	$132.08
11044 Removal of bone, 20.0 sq cm or less	27	21	$771.16	$319.84
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	25	14	$101.95	$27.06
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	14	12	$104.52	$45.19
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$212.72	$92.55
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$212.72	$92.48
11044 Removal of bone, 20.0 sq cm or less	12	11	$771.16	$236.54
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$387.80	$169.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	32	13	$293.22	$94.38
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$183.00	$51.63
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$183.00	$51.57

Medical Specialties & State Licenses

CMS Verified: 2023-07-07

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX P2901

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License AL L3489

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.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License AL L3489

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License TX P2901

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

302436602 (TX)

Secondary Practice Locations

1920 Country Place Pkwy Ste 300

Pearland, TX 775842287

Phone: 8327368968

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location July 07, 2023

Registered at 17218 PRESTON RD STE 2000, DALLAS, TX 752524018 (Tel: 8778667123)

📍

Updated Business Mailing Address July 07, 2023

Registered at PO BOX 742712, ATLANTA, GA 303742712 (Tel: 8778667123)

✅

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2017

Registered at 1920 COUNTRY PLACE PKWY STE 300, PEARLAND, TX 775842287 (Tel: 8327368968)

📍

Updated Business Mailing Address June 28, 2017

Registered at 319 NORTHCLIFF RIDGE LANE, FRIENDSWOOD, TX 775461727 (Tel: 7134940995)

👤

Provider Name / Credentials Updated June 28, 2017

Recorded as KEVIN MURPHY, MD MCH FRCS(PLAST.)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Plastic Surgery (License #L3489 in AL)

✅

NPI Profile Active January 28, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2014

Registered at 301 UNIVERSITY BOULEVARD, GALVESTON, TX 775550724 (Tel: 4097721255)

📍

Updated Business Mailing Address January 28, 2014

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775550724 (Tel: 4097721255)

👤

Provider Name / Credentials Updated January 28, 2014

Recorded as KEVIN MURPHY, MD MCH FRCS(PLAST.)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2014

Plastic Surgery (License #L3489 in AL)

🟢

Initial NPI Registration & Enumeration January 28, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386975506

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 28, 2010

Last Update: July 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 742712

Atlanta, GA 303742712

Phone: 8778667123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.