{"npi":"1013997204","type":"NPI-2","status":"active","name":{"display":"Blair County Plastic Surgery Inc.","other":[],"organization_name":"BLAIR COUNTY PLASTIC SURGERY INC.","authorised_official":"Robert Louton"},"specialty":{"primary_taxonomy":"2086S0122X","primary_taxonomy_description":"Plastic and Reconstructive Surgery Physician","slug":"plastic-and-reconstructive-surgery-physician","schema_org_specialty":null,"all":[{"code":"2086S0122X","description":"Plastic and Reconstructive Surgery Physician","primary":true,"state":"PA","license":"MD045155E"}]},"addresses":[{"purpose":"LOCATION","street_1":"601 HAWTHORNE DR","city":"HOLLIDAYSBURG","state":"PA","postal_code":"16648","country_code":"US","street_2":"SUITE 100","phone":"8149497280","fax":"8149497283"},{"purpose":"MAILING","street_1":"601 HAWTHORNE DR","city":"HOLLIDAYSBURG","state":"PA","postal_code":"16648","country_code":"US","street_2":"SUITE 100","phone":"8149497280","fax":"8149497283"}],"license":{"state":"PA","number":"MD045155E"},"identifiers":[{"type_code":"01","label":"Other","value":"240002639","state":"PA","issuer":"MEDICARE PALMETTO"},{"type_code":"05","label":"Medicaid","value":"00011873520001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"E83543","state":"PA","issuer":"PREFERRED HEALTH CARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20061013000038","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"7113923236"}]},"enumeration_date":"2006-01-23","last_updated":"2024-12-04","_meta":{"source":"NPPES","snapshot_date":"2024-12-04","doc_url":"https://findmynpi.com/api"}}