HOWARD J PEROFSKY (NPI# 1013918457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013918457 |
| Entity Type | Individual |
| Full Name | HOWARD J PEROFSKY |
| Credential | M D |
| Practice Address |
682 Hemlock St Suite 230 Macon GA 31201-6883 |
| Practice Telephone | 4787424847 |
| Practice Fax Number | 4787425442 |
| Mailing Telephone | 4787424847 |
| Mailing Fax Number | 4787425442 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
032452 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000410473A | 05 | |
| GA | RETIRED RAILROAD MEDICARE | 240002535 | 01 |
| GA | AETNA HEALTH PLANS | 581859020 | 01 |
| GA | CIGNA | 581859020 | 01 |
| GA | 319715 | 05 | |
| GA | GEORGIA BLUE SHIELD | 581859020 | 01 |
| GA | UNITED HEALTHCARE | 581859020 | 01 |
| GA | TRICARE/CHAMPUS | 581859020 | 01 |
| GA | HUMANA | 581859020 | 01 |
| Street Address |
682 HEMLOCK ST SUITE 230 |
| City | MACON |
| State | GA |
| Zip Code | 31201-6883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114316650 | Janet Whitehead | Nurse Practitioner | 682 Hemlock St, Suite 490, Macon, GA 31201-6883 | 2015-01-22 |
| 1306257035 | Amanda Phillips | Nurse Practitioner | 682 Hemlock St, Suite 490, Macon, GA 31201-6883 | 2014-05-15 |
| 1659612331 | Lindsay M Rozier | Nurse Practitioner | 682 Hemlock St, Suite 300, Macon, GA 31201-6883 | 2013-03-06 |
| 1780962712 | Holly Shontey Gladden | Physician Assistant | 682 Hemlock St, Suite 100, Macon, GA 31201-6883 | 2011-07-25 |
| 1760716633 | Jennifer T Stuckey | Advanced Practice Midwife | 682 Hemlock St, Ste 210, Macon, GA 31201-8314 | 2009-09-25 |
| 1992962971 | Hiral S Patel | Physician Assistant | 682 Hemlock St, Stw 100, Macon, GA 31201-6883 | 2008-05-19 |
| 1669539078 | Image Plastic Surgery Center, Inc | Surgery | 682 Hemlock St, #410, Macon, GA 31201-6883 | 2007-01-03 |
| 1881753606 | Oladiran Ademola Afolabi-brown | Plastic Surgery | 682 Hemlock St, #410, Macon, GA 31201-6883 | 2006-12-07 |
| 1447338413 | Maria Cavaliere | Internal Medicine | 682 Hemlock St, Suite 200, Macon, GA 31201-6883 | 2006-11-01 |
| 1902999162 | Faye Eaton | Pediatrics | 682 Hemlock St, Suite 290, Macon, GA 31201-6883 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427668342 | Spa Medical LLC | Surgery | 455 Plum St, Macon, GA 31201-3368 | 2020-08-05 |
| 1528281276 | Joshua Richard Groves | Surgery | 6326 Peake Rd, Macon, GA 31210-3960 | 2007-04-11 |
| 1144502436 | Taylor Wright Mclendon | Surgery | 1550 College St, Macon, GA 31207-0001 | 2011-09-13 |
| 1760786024 | The Georgia Center for Plastic and Reconstructive Surgery, PC | Surgery | 6326 Peake Rd, Macon, GA 31210-3960 | 2010-12-30 |
| 1669539078 | Image Plastic Surgery Center, Inc | Surgery | 682 Hemlock St, #410, Macon, GA 31201-6883 | 2007-01-03 |
| 1427056647 | Christopher L Mclendon | Surgery | 4030 Riverside Park Blvd, Macon, GA 31210-1365 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972848 | North Atlanta Plastic Surgery Group LLC | Surgery | 11877 Douglas Rd Ste 102-367, Johns Creek, GA 30005-4325 | 2020-02-03 |
| 1881100337 | Rpc Employee Services, LLC | Surgery | 975 Johnson Ferry Rd Ste 100, Atlanta, GA 30342-1618 | 2017-12-20 |
| 1093255044 | Southeastern Aesthetic and Reconstructive Surgery | Surgery | 155 Greenville St, Newnan, GA 30263-2630 | 2017-02-24 |
| 1700249042 | Justin Kyle Williams | Surgery | 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 | 2016-04-04 |
| 1871901009 | Southeastern Reconstructive Services LLC | Surgery | 5205 Frederick St Ste B, Savannah, GA 31405-4520 | 2014-07-31 |
| 1730479452 | Olumayowa Pitan Abiodun | Surgery | 2709 Meredyth Dr Ste 340, Albany, GA 31707 | 2011-04-14 |
| 1609175421 | Randal H. Rudderman Md Inc | Surgery | 3400-c Old Milton Pkwy, Ste 450, Alpharetta, GA 30005-3707 | 2011-03-18 |
| 1033374392 | James Bradford Depew | Surgery | 120 Vann St Ne Ste 150, Marietta, GA 30060 | 2008-07-25 |
| 1255591814 | Corey Patrick Harkins | Surgery | 120 Vann Street, Suite 150, Marietta, GA 30060 | 2008-06-16 |
| 1235313776 | Robert William Crow | Surgery | 4400 Harris Valley Rd Nw, Atlanta, GA 30327-3828 | 2007-12-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.