PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC (NPI# 1023105947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023105947 |
| Entity Type | Organization |
| Organization Name | PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC |
| Practice Address |
204 Worcester St Wellesley MA 02481-5420 |
| Practice Telephone | 7814896218 |
| Practice Fax Number | 7814896751 |
| Mailing Telephone | 7814896218 |
| Mailing Fax Number | 7814896751 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2013-01-22 |
| Authorized Official Name | DR. KENNETH A MARSHALL (PRESIDENT) |
| Authorized Official Telephone | 7814896228 |
| Authorized Official Credential | M.D., F,.A.C.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS GROUP NUMBER | M12935 | 01 |
| MA | TUFTS HEALTH PLAN | 600215 | 01 |
| Street Address |
204 WORCESTER ST |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306402953 | Sean Bryan | Chiropractor | 204 Worcester St, Wellesley, MA 02481-5473 | 2019-05-18 |
| 1538697545 | Promise Integrative Medicine Clinic | Acupuncturist | 204 Worcester St, Wellesley, MA 02481-5420 | 2017-06-02 |
| 1508113796 | Hyun Soo Yeo | Acupuncturist | 204 Worcester St, Wellesley, MA 02481-5420 | 2012-08-07 |
| 1699059881 | Meghan E Mcconville | Physical Therapist | 204 Worcester St, Wellesley, MA 02481-5420 | 2011-10-05 |
| 1861676413 | Suzanne Del Flax | Speech-Language Pathologist | 204 Worcester St, Wellesley, MA 02481-5420 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| 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 |
|---|---|---|---|---|
| 1528280203 | Plastic Surgery Specialists | Surgery | 332 Washington St., Wellesley, MA 02481 | 2007-05-03 |
| 1770710410 | Robert Savage Md PC | Surgery | 332 Washington St, Suite 205, Wellesley, MA 02481-6219 | 2009-06-21 |
| 1821249996 | O'sullivan Plastic Surgery PC | Surgery | 14 Denton Rd, Wellesley, MA 02482 | 2008-10-07 |
| 1245423086 | Glenn C Harder | Surgery | 332 Washington St, Wellesley, MA 02481-6219 | 2007-08-24 |
| 1174647192 | Mark Khajag Markarian | Surgery | 25 Walnut St, Suite 400, Wellesley, MA 02481-2152 | 2007-03-16 |
| 1073510756 | Laura Linda Mccann | Surgery | 1 Washington St, Ste 300, Wellesley, MA 02481-1711 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1336792498 | Dexterity Hand Surgery, LLC | Surgery | 100 Unicorn Park Dr Ste 102, Woburn, MA 01801-3379 | 2019-07-18 |
| 1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
| 1750423711 | Curtis Ngau | Surgery | 231 Worcester Rd, Framingham, MA 01701-5346 | 2007-02-13 |
| 1821195439 | Richard A Peinert | Surgery | Post Office Square, Lynnfield Medical Build, Lynnfield, MA 01940 | 2006-09-19 |
| 1710095559 | Katherine D Hein Md PC | Surgery | 117 West Central Street, Suite 203, Natick, MA 01760 | 2006-08-29 |
| 1598780363 | Katherine D Hein | Surgery | 117 W Central Street, Suite 203, Natick, MA 01760-4383 | 2006-07-13 |
| 1831138825 | Kenneth A Marshall | Surgery | 204 Worcester St, Wellesley Hills, MA 02481-5420 | 2006-06-05 |
| 1932148939 | Sumner A Slavin | Surgery | 200 Boylston St Ste 307, Chestnut Hill, MA 02467-2008 | 2006-06-05 |
| 1396783601 | John E Fattore | Surgery | 825 Washington St, Ste 390, Guild Medical Building, Norwood, MA 02062 | 2006-06-02 |
| 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.