ELEVATION PLASTIC SURGERY, PC (NPI# 1073755443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073755443 |
Entity Type | Organization |
Organization Name | ELEVATION PLASTIC SURGERY, PC |
Practice Address |
60 Temple St Suite 4b New Haven CT 06510-2716 |
Practice Telephone | 2037520015 |
Practice Fax Number | 2037722814 |
Mailing Telephone | 2037520015 |
Mailing Fax Number | 2037722814 |
Enumeration Date | 2009-04-01 |
Last Update Date | 2009-04-01 |
Authorized Official Name | DR. LEO RYO OTAKE (MEDICAL DIRECTOR) |
Authorized Official Telephone | 2037520015 |
Authorized Official Credential | M.D., PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | 046053 | CT | Allopathic & Osteopathic Physicians |
Street Address |
60 TEMPLE ST SUITE 4B |
City | NEW HAVEN |
State | CT |
Zip Code | 06510-2716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659369361 | William E Allen | Specialist | 60 Temple St, New Haven, CT 06510-2716 | 2005-10-07 |
1255681375 | Mclynn S Kumar | Nurse Practitioner | 60 Temple St, Suite 6a, New Haven, CT 06510-2716 | 2012-09-17 |
1295010775 | Maurren Louise Loughrey | Nurse Practitioner | 60 Temple St, 7f, New Haven, CT 06510-2716 | 2011-10-17 |
1063714715 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 60 Temple St, New Haven, CT 06510-2717 | 2010-12-01 |
1841522281 | Molecular Neuroimaging, LLC | Psychiatry & Neurology | 60 Temple St, #8a, New Haven, CT 06510-2716 | 2010-02-10 |
1396075933 | The Institute for Neurodegenerative Disorders | Psychiatry & Neurology | 60 Temple St, Suite 8b, New Haven, CT 06510-2716 | 2010-01-04 |
1174792949 | Nutmeg Pediatric Pulmonary Services | Pediatrics | 60 Temple St, 7f, New Haven, CT 06510 | 2008-02-26 |
1598944746 | New Haven Rheumatology, P.C. | Internal Medicine | 60 Temple St, Ste 6a, New Haven, CT 06510 | 2007-10-24 |
1972719011 | John Peter Seibyl | Psychiatry & Neurology | 60 Temple St, Suite 8b, New Haven, CT 06510-2716 | 2007-05-15 |
1881819795 | Medical Center Pharmacy | Pharmacy | 60 Temple St, New Haven, CT 06510-2716 | 2007-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
Find all providers in zip 06510 |
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 |
---|---|---|---|---|
1356684112 | Joseph Lopez | Plastic Surgery | 330 Cedar St Ste 330, New Haven, CT 06510-3218 | 2013-03-30 |
1417213372 | Nayif M Alnaif | Plastic Surgery | 330 Cedar St, New Haven, CT 06510-3218 | 2012-04-04 |
1023256690 | Mark H. Weinstein, Md PC | Plastic Surgery | 136 Sherman Ave, 407, New Haven, CT 06511-5238 | 2009-02-04 |
1972762581 | Michael Alperovich | Plastic Surgery | 330 Cedar St, 3rd Floor Boardman Building, New Haven, CT 06510-3218 | 2008-06-09 |
1780841320 | Tomer Avraham | Plastic Surgery | 800 Howard Ave Fl 4, New Haven, CT 06519-1369 | 2008-05-21 |
1386821700 | Alexander F Au | Plastic Surgery | 20 York St, T-209, New Haven, CT 06510-3220 | 2008-01-28 |
1265563449 | Stephanie Lynn Kwei | Plastic Surgery | 800 Howard Ave, 4th Floor, New Haven, CT 06519-1369 | 2007-03-08 |
1568408607 | Deborah Pan | Plastic Surgery | 1 Audubon St, Suite 201, New Haven, CT 06511-6433 | 2006-06-20 |
1407899073 | Mark H. Weinstein | Plastic Surgery | 136 Sherman Ave, #407, New Haven, CT 06511-5238 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720642762 | Riverview Emergency Services LLC | Plastic Surgery | 148 East Ave Ste 3h, Norwalk, CT 06851-5726 | 2019-04-25 |
1073177184 | Laurel Chandler Md Pllc | Plastic Surgery | 195 Danbury Rd Ste 203, Wilton, CT 06897-4075 | 2019-04-24 |
1285080416 | Plastic Surgery Practice of Connecticut | Plastic Surgery | 44 Amogerone Crossway # 8151, Greenwich, CT 06830-9993 | 2016-05-06 |
1275997975 | Peau | Plastic Surgery | 1472 Boston Post Rd, Darien, CT 06820-5909 | 2016-04-08 |
1881956514 | Mid State Md, LLC | Plastic Surgery | 85 Church St Ste 500, Middletown, CT 06457-3647 | 2012-06-08 |
1134356959 | Yuen-jong Liu | Plastic Surgery | 722 Post Rd Ste 200, Darien, CT 06820 | 2009-06-18 |
1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
1376704353 | Christopher David Hughes | Plastic Surgery | 399 Farmington Ave Ste 210, Farmington, CT 06032-1944 | 2008-06-22 |
1659546323 | Richard Restifo, Md PC | Plastic Surgery | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2008-04-24 |
1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
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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.