PLASTIC SURGERY CENTRE INC (NPI# 1073505129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073505129 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY CENTRE INC |
| Practice Address |
85 Constitution Ln Danvers MA 01923-3694 |
| Practice Telephone | 9787775557 |
| Practice Fax Number | 9787771615 |
| Mailing Telephone | 9787775557 |
| Mailing Fax Number | 9787771615 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | JOHN P WYSOCKI (PRESIDENT) |
| Authorized Official Telephone | 9787775557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9763996 | 05 |
| Street Address |
85 CONSTITUTION LN |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-3694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382591 | Ashley Lynn Marie Mcgovern | Chiropractor | 85 Constitution Ln, Suite 1e, Danvers, MA 01923-3694 | 2017-05-10 |
| 1184028664 | Jessica Archambault | Counselor | 85 Constitution Ln, Danvers, MA 01923-3694 | 2014-10-13 |
| 1144645268 | Matthew Mcclees | Physical Therapist | 85 Constitution Ln, Danvers, MA 01923-3694 | 2014-02-26 |
| 1770929606 | Northshore Physicians Associates PC | Internal Medicine | 85 Constitution Ln, Suite 1g, Danvers, MA 01923-3694 | 2013-05-19 |
| 1093054801 | Tara Cates | Physical Therapist | 85 Constitution Ln, Danvers, MA 01923-3694 | 2013-02-14 |
| 1053665935 | Prestige Healthcare Resources Inc. | Home Health | 85 Constitution Ln, Suite 3b1, Danvers, MA 01923-3694 | 2012-10-31 |
| 1275890113 | Adam Branson | Physical Therapist | 85 Constitution Ln, Danvers, MA 01923-3694 | 2012-04-17 |
| 1013212935 | Rosmark Psychological Services LLC | Psychologist | 85 Constitution Ln, Suite 2g, Danvers, MA 01923-3694 | 2011-01-25 |
| 1760790083 | Johnston & Hayes Littlefield, Inc. | Home Health | 85 Constitution Ln, Suite 3a1, Danvers, MA 01923-3694 | 2010-09-21 |
| 1851607659 | Jennifer Lyons | Physical Therapist | 85 Constitution Ln, Danvers, MA 01923-3694 | 2010-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1528280203 | Plastic Surgery Specialists | Surgery | 332 Washington St., Wellesley, MA 02481 | 2007-05-03 |
| 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 |
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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.