HILLSTROM FACIAL PLASTIC SURGERY PA (NPI# 1104051978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104051978 |
| Entity Type | Organization |
| Organization Name | HILLSTROM FACIAL PLASTIC SURGERY PA |
| Practice Address |
5911 N. Honore Ave. Suite 120 Sarasota FL 34243 |
| Mailing Address |
Box 195 8374 Market Street Bradenton FL 34202-5137 |
| Practice Telephone | 9413553223 |
| Practice Fax Number | 9413589749 |
| Mailing Telephone | 9413553223 |
| Mailing Fax Number | 9413589749 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |
| Authorized Official Name | DR. ROBERT P HILLSTROM (PRESIDENT-OWNER) |
| Authorized Official Telephone | 9413553223 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | ME54913 | FL | Allopathic & Osteopathic Physicians |
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
ME54913 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD | P00078356 | 01 |
| Street Address |
5911 N. HONORE AVE. SUITE 120 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1366684979 | Tina A. Rigsby Prousalis | Nurse Practitioner | 701 Tallevast Rd., Sun Hydrolics, Sarasota, FL 34243 | 2009-03-27 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, 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. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325439 | Nicholas Themis Monsul | Plastic Surgery | 2068 Hawthorne St, Ste 201, Sarasota, FL 34239-2307 | 2005-06-02 |
| 1386050854 | Rejuveface, LLC | Plastic Surgery | 1958 Prospect St, Sarasota, FL 34239-2217 | 2014-07-06 |
| 1477519544 | Holcomb Facial Plastic Surgery, P.l. | Plastic Surgery | 1 S School Ave, Suite 800, Sarasota, FL 34237-6014 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544172 | Vero Facial Cosmetic Surgery & Medispa,pllc | Plastic Surgery | 1255 37th St Ste D, Vero Beach, FL 32960-6550 | 2015-12-30 |
| 1659756740 | Garcia Institute Ponte Vedra LLC | Plastic Surgery | 190 A1a N # 1, Ponte Vedra Beach, FL 32082-1773 | 2015-07-30 |
| 1790911022 | Kriston J Kent Md Pa | Plastic Surgery | 1660 Medical Blvd Ste 100, Naples, FL 34110-1415 | 2009-06-01 |
| 1295946598 | Rian Maercks | Plastic Surgery | 4500 Biscayne Blvd Ste 104, Miami, FL 33137-3227 | 2007-05-25 |
| 1467512699 | Adler Facial Plastic Surgery Pa | Plastic Surgery | 323 Osceola St, Stuart, FL 34994 | 2006-12-11 |
| 1770665846 | Garcia Aesthetic & Wellness Center Inc | Plastic Surgery | 190 A1a N, Ponte Vedra Beach, FL 32082-1773 | 2006-10-19 |
| 1922105600 | Juan Phillip Garcia | Plastic Surgery | 700 3rd Street, Suite 102, Neptune Beach, FL 32266 | 2006-09-17 |
| 1255445862 | John J Obrien Jr. | Plastic Surgery | 7855 38th Ave N, St Petersburg, FL 33710-1134 | 2006-08-19 |
| 1427162486 | William L Carter | Plastic Surgery | 2706 Dr Martin Luther King Jr Blvd W, Suite B, Tampa, FL 33607-6360 | 2006-08-18 |
| 1083645717 | Advanced Facial Cosmetic & Laser Surgery Center Inc | Plastic Surgery | 5070 Highway A1a, Vero Beach, FL 32963-1400 | 2006-07-05 |
| 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.