PLASTIC AND RECONSTRUCTIVE SURGERY, P.C. (NPI# 1073581542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073581542 |
| Entity Type | Organization |
| Organization Name | PLASTIC AND RECONSTRUCTIVE SURGERY, P.C. |
| Practice Address |
2295 S George St York PA 17403 |
| Practice Telephone | 7177419599 |
| Practice Fax Number | 7177410420 |
| Mailing Telephone | 7177419599 |
| Mailing Fax Number | 7177410420 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-11-24 |
| Authorized Official Name | NINA ELDRIDGE BORN (PRACTICE MANAGER SEC TREA OF CORP) |
| Authorized Official Telephone | 7177419599 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | 240006830 | 01 |
| PA | AMERIHEALTH MERCY | 20009842 | 01 |
| PA | BLUE SHIELD | 742753 | 01 |
| CAPITAL BLUE CROSS | 01873201 | 01 | |
| PA | KEYSTONE | 742753 | 01 |
| PA | 001164812004 | 05 | |
| PA | GATEWAY | 1523691 | 01 |
| CHAMPUS | P018712A002 | 01 |
| Street Address |
2295 S GEORGE ST |
| City | YORK |
| State | PA |
| Zip Code | 17403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1376870147 | Richard G Katz | Plastic Surgery | 1173 Beechwood Blvd, Pittsburgh, PA 15206-4545 | 2009-11-15 |
| 1659438372 | Herbert A Ecker Jr. | Plastic Surgery | 920 Washington Blvd, Williamsport, PA 17701-6151 | 2007-01-02 |
| 1255347977 | Thomas C Jacob Jr. | Plastic Surgery | 1088 West Baltimore Pike, Hcc 2 Suite 2405, Media, PA 19063-5136 | 2006-08-01 |
| 1740289008 | George Peter Zavitsanos | Plastic Surgery | 467 Pennsylvania Ave, Suite 203, Fort Washington, PA 19034-3420 | 2005-07-19 |
| 1669809547 | Aesthetic,reconstructive & Hand Surgery, P.C. | Plastic Surgery | 5325 Northgate Dr, Suite 202, Bethlehem, PA 18017-9411 | 2013-10-08 |
| 1326279928 | Jonathan Wing Ming Toy | Plastic Surgery | 3380 Boulevard of The Allies, Suite 180, Pittsburgh, PA 15213-3125 | 2009-07-30 |
| 1972705663 | Jaimie Troyal Shores | Plastic Surgery | 3550 Terrace Street, Division of Plastic Surgery, Suite 683 Scaife Hall, Pittsburgh, PA 15261 | 2007-06-04 |
| 1871624031 | Michael S Fakhraee Md Associates | Plastic Surgery | 7500 Central Ave, Suite 101, Philadelphia, PA 19111-2430 | 2007-03-08 |
| 1861543936 | George P Zavitsanos | Plastic Surgery | 467 Pennsylvania Ave, Suite 203, Fort Washington, PA 19034-3420 | 2007-01-16 |
| 1578614566 | Plastic & Hand Surgery Ltd | Plastic Surgery | 467 Pennsylvania Ave, Suite 203, Fort Washington, PA 19034-3420 | 2007-01-16 |
| 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.