ROBERT NICHOLAS SEVERINAC (NPI# 1033120969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033120969 |
Entity Type | Individual |
Full Name | ROBERT NICHOLAS SEVERINAC |
Credential | M.D. |
Practice Address |
10020 Dupont Circle Ct Suite 100 Fort Wayne IN 46825-1620 |
Practice Telephone | 2604890099 |
Practice Fax Number | 2604890066 |
Mailing Telephone | 2604890099 |
Mailing Fax Number | 2604890066 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | 01043388A | IN | Allopathic & Osteopathic Physicians |
Street Address |
10020 DUPONT CIRCLE CT SUITE 100 |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-1620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750326351 | Thomas A. Kintanar | Family Medicine | 10020 Dupont Circle Ct, Suite 110, Fort Wayne, IN 46825-1620 | 2006-06-18 |
1437602521 | Omni Dental PC | Dentist | 10020 Dupont Circle Ct, Ste 150, Fort Wayne, IN 46825-1620 | 2016-07-26 |
1174861454 | Indiana Plastic Surgery Center, PC | Clinic/Center | 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825-1620 | 2013-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
Find all providers in zip 46825 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730277583 | Fort Wayne Dermatology Cons. Inc. | Plastic Surgery | 7881 Carnegie Blvd, Fort Wayne, IN 46804-5792 | 2006-10-10 |
1508867656 | Brian J Lee | Plastic Surgery | 7910 W Jefferson Blvd Ste 212, Fort Wayne, IN 46804-4159 | 2005-08-10 |
1700888617 | Matthew E Shambaugh | Plastic Surgery | 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4166 | 2005-08-10 |
1124029079 | Guy Gerald Crevecoeur | Plastic Surgery | 11141 Parkview Plaza Dr Ste 300, Fort Wayne, IN 46845-1715 | 2005-08-02 |
1881968279 | Aspire Plastic Surgery LLC | Plastic Surgery | 7910 W Jefferson Blvd Ste 212, Fort Wayne, IN 46804-4159 | 2012-03-02 |
1013201995 | Reid Robert Pflueger | Plastic Surgery | 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804 | 2011-06-08 |
1477622934 | Michael Robert Davis | Plastic Surgery | 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 | 2006-11-07 |
1275624686 | Plastic Surgery Innovations, P.C. | Plastic Surgery | 10215 Auburn Park Dr, Suite B, Fort Wayne, IN 46825-2387 | 2006-09-28 |
1407888589 | James R. Miller | Plastic Surgery | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2006-07-07 |
1194701664 | Summit Plastic Surgery, PC | Plastic Surgery | 7920 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4166 | 2005-12-16 |
Find all providers in FORT WAYNE |
City | FORT WAYNE |
Zip Code | 46825 |
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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.