BLACKHAWK PLASTIC SURGERY, A MEDICAL CORP. (NPI# 1114960358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114960358 |
| Entity Type | Organization |
| Organization Name | BLACKHAWK PLASTIC SURGERY, A MEDICAL CORP. |
| Practice Address |
3600 Blackhawk Plaza Cir Danville CA 94506-4623 |
| Mailing Address |
11999 San Vicente Blvd Ste 440 Los Angeles CA 90049-5131 |
| Practice Telephone | 9257365757 |
| Practice Fax Number | 9257365763 |
| Mailing Telephone | 3104403131 |
| Mailing Fax Number | 3104729582 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | MR. STEPHEN J. RONAN (OWNER) |
| Authorized Official Telephone | 9257365757 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3600 BLACKHAWK PLAZA CIR |
| City | DANVILLE |
| State | CA |
| Zip Code | 94506-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239971 | Stephen John Ronan | Plastic Surgery | 3600 Blackhawk Plaza Cir, Danville, CA 94506-4623 | 2006-03-23 |
| 1881016475 | Shahdi Vakili | Nurse Practitioner | 3600 Blackhawk Plaza Cir, Danville, CA 94506-4623 | 2014-01-16 |
| 1023260007 | Sandra Draghi | Nurse Practitioner | 3600 Blackhawk Plaza Cir, Danville, CA 94506-4623 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680659 | Diane Lindsey Baggett | Registered Nurse | # 155 9000 Crow Canyon, Danville, CA 94506 | 2020-05-12 |
| 1205334364 | Sarika Shah | Dietitian, Registered | 3860 Blackhawk Road, Suite 140, Danville, CA 94506 | 2018-01-24 |
| 1679843783 | John W. Raniseski | Psychologist | 204 Stetson Drive, Danville, CA 94506 | 2012-01-05 |
| 1871728279 | Dana Libby Kapp | Dentist | 4135 Blackhawk Plaza Cir Ste 260, Danville, CA 94506 | 2009-05-28 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1922105469 | Selin Khayatan | Optometrist | 2255 Genoa Street, Danville, CA 94506 | 2006-09-19 |
| 1497784169 | Donald I Galen | Obstetrics & Gynecology | 13 Homestead Court, Danville, CA 94506 | 2006-07-03 |
| 1144259870 | Blackhawk Surgery Center, A Medical Corp. | Clinic/Center | 3601 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-07-03 |
| 1629038351 | William Kemerer | Anesthesiology | 3600 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-03-25 |
| 1730730789 | Karen Marcum | Prosthetic/Orthotic Supplier | 4165 Blackhawk Plaza Circle, Private Suite 250, Danville, CA 94506 | 2019-09-21 |
| Find all providers in zip 94506 | ||||
| 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 |
|---|---|---|---|---|
| 1366510943 | Timothy Leung | Plastic Surgery | 905 San Ramon Valley Blvd, Suite 110, Danville, CA 94526-4035 | 2006-12-01 |
| 1033225388 | Homayoun Attaran | Plastic Surgery | 919 San Ramon Valley Blvd, Suite 158, Danville, CA 94526-4050 | 2006-08-21 |
| 1447282249 | Central Kentucky Plastic Surgery, Pllc | Plastic Surgery | 230 W Main St Ste 101, Danville, KY 40422-1871 | 2006-07-06 |
| 1649239971 | Stephen John Ronan | Plastic Surgery | 3600 Blackhawk Plaza Cir, Danville, CA 94506-4623 | 2006-03-23 |
| 1992702633 | Christopher Alan Marek | Plastic Surgery | 230 W Main St, Suite 101, Danville, KY 40422-1871 | 2005-07-07 |
| 1821331786 | Keli Kolegraff | Plastic Surgery | 100 N Academy Ave, Danville, PA 17822-0006 | 2013-03-29 |
| 1295051381 | Sean Michael Devitt | Plastic Surgery | 100 N Academy Ave, Danville, PA 17822-4824 | 2010-04-14 |
| 1154573202 | Timothy Leung, M.d., Inc. | Plastic Surgery | 905 San Ramon Valley Blvd, Suite 110, Danville, CA 94526-4035 | 2008-10-21 |
| 1649437278 | Rachel Ellen Scott | Plastic Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122-2600 | 2008-05-21 |
| 1457543696 | Christopher Michael Sanders | Plastic Surgery | 100 N Academy Ave, Danville, PA 17822-2170 | 2007-08-13 |
| Find all providers in DANVILLE | ||||
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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.