PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC (NPI# 1063464717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063464717 |
Entity Type | Organization |
Organization Name | PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC |
Other Organization Name | PLLC |
Practice Address |
2640 Ridgeway Avenue Rochester NY 14626 |
Practice Telephone | 5852250680 |
Practice Fax Number | 5852251324 |
Mailing Telephone | 5852250680 |
Mailing Fax Number | 5852251324 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2008-04-29 |
Authorized Official Name | MR. DONALD JOSEPH CAPUANO (DIRECTOR) |
Authorized Official Telephone | 5152250680 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | 1052901 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PREFERRED CARE | 100585E0 | 01 | |
BCBS AND BLUE CHOICE | P020105290 | 01 |
Other Name | Type Code |
---|---|
PLLC | Other Name - Individual/Organization |
Street Address |
2640 RIDGEWAY AVENUE |
City | ROCHESTER |
State | NY |
Zip Code | 14626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
Find all providers in zip 14626 |
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 |
---|---|---|---|---|
1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
1972731156 | Ashley Amalfi | Plastic Surgery | 973 East Ave Ste 100, Rochester, NY 14607-2216 | 2009-06-26 |
1538336938 | Oscar Javier Manrique Mogollon | Plastic Surgery | 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 | 2008-05-14 |
1295909141 | Donald J Capuano | Plastic Surgery | 2640 Ridgeway Ave, Rochester, NY 14626-4209 | 2008-04-22 |
1215947908 | Marie A Frankel | Plastic Surgery | 285 Idlewood Rd, Rochester, NY 14618-3955 | 2006-08-08 |
1043259443 | William James Koenig | Plastic Surgery | 973 East Ave, Rochester, NY 14607-2216 | 2006-06-04 |
1326092107 | Stephen Evangelisti | Plastic Surgery | 1901 Lac De Ville Blvd, Rochester, NY 14618-5627 | 2006-05-19 |
1104899830 | Steven R Jacobson | Plastic Surgery | 2518 Superior Dr Nw Ste 104, Rochester, MN 55901-1997 | 2006-02-13 |
1194721282 | David H Refermat | Plastic Surgery | 360 Linden Oaks Dr., Ste 310, Rochester, NY 14625-2814 | 2005-06-22 |
1770100133 | Austin D Chen | Plastic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-07-01 |
Find all providers in ROCHESTER |
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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.