SYRACUSE PLASTIC SURGERY, PLLC (NPI# 1134757891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134757891 |
| Entity Type | Organization |
| Organization Name | SYRACUSE PLASTIC SURGERY, PLLC |
| Practice Address |
3107 E Genesee St Syracuse NY 13224-1646 |
| Practice Telephone | 3152995313 |
| Practice Fax Number | 3152995661 |
| Mailing Telephone | 3152995313 |
| Mailing Fax Number | 3152995661 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | DR. DEAN DEROBERTS (MD/ OWNER) |
| Authorized Official Telephone | 3152995313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3107 E GENESEE ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13224-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871588210 | George Robert Hampton | Ophthalmology | 3107 E Genesee St, Syracuse, NY 13224-1646 | 2005-09-13 |
| 1760935548 | Jena Michelle Murphy | Nurse Practitioner | 3107 E Genesee St, Syracuse, NY 13224-1646 | 2016-07-28 |
| 1225111917 | Enrique Javier Armenta | Specialist | 3107 E Genesee St, Syracuse, NY 13224-1646 | 2006-10-24 |
| 1609861046 | Paul Francis Torrisi | Ophthalmology | 3107 E Genesee St, Syracuse, NY 13224-1646 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598329534 | Judie Lyn Gordon-louison | Registered Nurse | 2429 East Fayette Street, Syracuse, Syracuse, NY 13224 | 2019-04-25 |
| 1669942363 | Julie E. Clonan | Speech-Language Pathologist | 3049 E. Genesee St., Syracuse, NY 13224 | 2018-11-26 |
| 1043604762 | Heather Lynn Blum | Licensed Practical Nurse | 120 Niven Street, Syracuse, NY 13224 | 2015-03-19 |
| 1912226523 | Florence Delisi | Licensed Practical Nurse | 2315 East Fayette St, Syracuse, NY 13224 | 2010-05-21 |
| 1336476563 | Kimberlee Anne Difulio | Licensed Practical Nurse | 1615 Meadowbrook Drive, #3, Syracuse, NY 13224 | 2009-11-09 |
| 1134371081 | Amy Lynn Ezekiel | Speech-Language Pathologist | 3049 East Genesee Street, Syracuse, NY 13224 | 2008-10-22 |
| 1104951490 | Daniel Stephen Delluomo | Dentist | 3175 East Genesee St, Suite 2, Syracuse, NY 13224 | 2007-02-23 |
| 1447317037 | Fumiyo Hirano | Social Worker | 182 Edgehill Road, Syracuse, NY 13224 | 2007-01-02 |
| 1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
| 1235222530 | Bernadine Alese Martin | Dentist | 1125 Salt Springs Road, Syracuse, NY 13224 | 2006-10-02 |
| Find all providers in zip 13224 | ||||
| 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 |
|---|---|---|---|---|
| 1588764294 | Philip Alfred Falcone | Plastic Surgery | 2118 E Genesee St, Syracuse, NY 13210-2218 | 2006-09-23 |
| 1396771424 | Dean Deroberts | Plastic Surgery | 3107 E Genesee St Ste 2g, Syracuse, NY 13224-1646 | 2006-06-23 |
| 1740588607 | Deroberts Plastic Surgery Pllc | Plastic Surgery | 4850 Broad Rd, Suite 2g, Syracuse, NY 13215-5100 | 2011-03-02 |
| 1144408345 | Plastic Surgery Associates of Cny | Plastic Surgery | 725 Irving Ave, Suite 314, Syracuse, NY 13210 | 2008-02-11 |
| 1417136300 | Philip A. Falcone, Md, PC | Plastic Surgery | 2118 E Genesee St, Syracuse, NY 13210-2218 | 2007-10-29 |
| 1861699506 | Prashant K Upadhyaya | Plastic Surgery | 550 Harrison St, Ste. 120, Syracuse, NY 13202-3188 | 2007-06-27 |
| 1851465496 | Plastic & Reconstructive Surgery of Cny PC | Plastic Surgery | 475 Irving Ave, Suite 320, Syracuse, NY 13210-1756 | 2006-11-17 |
| 1821186669 | Frederick Peter Hixson | Plastic Surgery | 725 Irving Ave, Suite 314, Syracuse, NY 13210-1603 | 2006-10-10 |
| 1710992466 | Bruce Berner Shafiroff | Plastic Surgery | 475 Irving Ave, Suite 320, Syracuse, NY 13210-1756 | 2006-07-30 |
| 1568451391 | Mohammad B Tabaie, Md PC | Plastic Surgery | 4850 Broad Rd, Suite 2g, Syracuse, NY 13215-5100 | 2005-10-14 |
| Find all providers in SYRACUSE | ||||
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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.