PLASTIC SURGERY CTR PA (NPI# 1174722201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174722201 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY CTR PA |
| Practice Address |
222 St John St Ste 321 Portland ME 04102 |
| Practice Telephone | 2077751933 |
| Practice Fax Number | 2078719316 |
| Mailing Telephone | 2077751933 |
| Mailing Fax Number | 2078719316 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | DR. VERNE M WEISBERG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2077751933 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME | Allopathic & Osteopathic Physicians |
| Street Address |
222 ST JOHN ST STE 321 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068869 | Stephanie Baird | Occupational Therapist | 222 St John St, Suite 226, Portland, ME 04102 | 2006-01-17 |
| 1841369568 | Rlh Inc | Social Worker | 222 St John St, # 113, Portland, ME 04102 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346266368 | Marcus W Melvin | Surgery | 9200 Sw Barnes Rd, Portland, OR 97225-6624 | 2006-07-14 |
| 1699286468 | Alvin Annen | Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-10-19 |
| 1194929661 | Hemangini J. Thakar | Surgery | 3303 Sw Bond Ave, Suite 5, Portland, OR 97239-4501 | 2007-06-11 |
| 1396867719 | Rachel E Streu | Surgery | 9775 Sw Wilshire St, Suite 200, Portland, OR 97225-5067 | 2007-04-05 |
| 1134296791 | Michael Eric Balkovich | Surgery | 5050 Ne Hoyt St, Suite 515, Portland, OR 97213-2991 | 2006-11-29 |
| 1831270545 | Richard Hector Bensimon | Surgery | 120 Nw 14th Ave, Suite 200, Portland, OR 97209 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002828 | Perrone Medical Solutions Pllc | Surgery | 472 Roosevelt Trl, Windham, ME 04062-6931 | 2018-08-13 |
| 1215010889 | Charmaine B Jensen | Surgery | 2239 Atlantic Hwy, Lincolnville, ME 04849-5310 | 2006-10-24 |
| 1790060549 | John P Cederna | Surgery | 99 Campus Ave, Suite 303, Lewiston, ME 04240-6045 | 2011-10-12 |
| 1013181007 | Arthur Turko | Surgery | 244 Western Ave, South Portland, ME 04106-2496 | 2008-04-22 |
| 1205902400 | Maine Plastic Surgical Associates Pa | Surgery | 325d Kennedy Memorial Dr, Waterville, ME 04901-4530 | 2006-11-28 |
| 1093820375 | Anthony Perrone | Surgery | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2006-08-20 |
| 1992740344 | Henry Hollis Caffee | Surgery | 489 State St, Bangor, ME 04401-6616 | 2006-06-19 |
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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.