Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pura Plastic Surgery

Organization MOHS-Micrographic Surgery Physician · NPI 1447619218

Pura Plastic Surgery is an MOHS-Micrographic Surgery Physician in Lexington, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016
Specialties on file
6

Practice location Address checks out

5351 Sunset Blvd
Lexington, SC 29072-9159
Phone: (803) 490-7644
Fax: (803) 490-7645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 33186 (SC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 33186 (SC)
Otolaryngic Allergy Physician Taxonomy 207YX0602X · Licence 33186 (SC)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X · Licence 33186 (SC)
Plastic Surgery Physician Taxonomy 208200000X · Licence 33186 (SC)
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X · Licence 33186 (SC)

Record details

NPI number1447619218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oliver Simmons — Owner · (803) 421-9208
NPI enumeratedFebruary 22, 2016
Last updated in NPPESJanuary 13, 2017
Mailing address5351 Sunset Blvd, Lexington, SC 29072-9159