KASANDRA RAE DASSOULAS (NPI# 1063702223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063702223 |
| Entity Type | Individual |
| Full Name | KASANDRA RAE DASSOULAS |
| Practice Address |
11934 W Broad St Ste 200 Richmond VA 23233 |
| Mailing Address |
11934 W Broad St Ste 200 Richmond VA 23233-1100 |
| Practice Telephone | 8044242000 |
| Mailing Telephone | 8044242000 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | D83761 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1215 Lee St, Box 800376, Charlottesville, VA 229080136 | 4349241234 | 4349241333 |
| 227 St. Paul Place, 6th Floor, Baltimore, MD 21202 | 4103329700 |
| Street Address |
11934 W BROAD ST STE 200 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558857706 | Plastic Surgery Associates of Richmond Inc | Plastic Surgery | 11934 W Broad St Ste 200, Richmond, VA 23233-1100 | 2018-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| 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 |
|---|---|---|---|---|
| 1669975355 | Sarah Elizabeth Burchett | Plastic Surgery | 8730 Stony Point Pkwy Ste 120, Richmond, VA 23235-1959 | 2018-03-09 |
| 1710377189 | James Latane Ware | Plastic Surgery | 4103 Summit Ln, Richmond, VA 23221-3710 | 2015-01-23 |
| 1922336304 | Richmond Multi-specialty, LLC | Plastic Surgery | 1451 Johnston Willis Dr, Richmond, VA 23235-4730 | 2009-11-24 |
| 1801958228 | Neil Jason Zemmel | Plastic Surgery | 11934 W Broad St, Suite 200, Richmond, VA 23233-1100 | 2006-12-14 |
| 1154407617 | Steven J Montante | Plastic Surgery | 5706 Grove Ave Ste 201, Richmond, VA 23226 | 2006-10-27 |
| 1194706960 | Gregory T Lynam | Plastic Surgery | 8720 Stony Point Pkwy, Suite 100, Richmond, VA 23235-1988 | 2005-11-09 |
| 1558857706 | Plastic Surgery Associates of Richmond Inc | Plastic Surgery | 11934 W Broad St Ste 200, Richmond, VA 23233-1100 | 2018-07-10 |
| 1083140313 | Montante Plastic Surgery & Aesthetics, LLC | Plastic Surgery | 5706 Grove Ave Ste 201, Richmond, VA 23226-2346 | 2017-05-05 |
| 1245624220 | David Nguyen | Plastic Surgery | 1250 E Marshall St, Richmond, VA 23298 | 2015-03-27 |
| 1710324462 | Lauren C Nigro | Plastic Surgery | 1213 E Clay St, Richmond, VA 23298-5071 | 2013-06-03 |
| Find all providers in RICHMOND | ||||
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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.