LA BELLE VIE PLASTIC SURGERY PC (NPI# 1245709021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245709021 |
| Entity Type | Organization |
| Organization Name | LA BELLE VIE PLASTIC SURGERY PC |
| Practice Address |
1122 Medical Center Dr Wilmington NC 28401-7305 |
| Practice Telephone | 9103385900 |
| Practice Fax Number | 9103383315 |
| Mailing Telephone | 9103385900 |
| Mailing Fax Number | 9103383315 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | JEFFREY CHURCH (PRESIDENT) |
| Authorized Official Telephone | 9103385900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1122 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568463131 | Jeffrey Scott Church | Surgery | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2005-08-09 |
| 1750553517 | Ronald D. Gaitros, Dds, Ms, Pa | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2008-04-01 |
| 1558533315 | Michael C. Kinnebrew, Md, Dds, Pa | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2008-04-01 |
| 1811033137 | Carolinas Oral & Facial Surgery Center, Inc. | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2007-01-30 |
| 1942298443 | Ronald Dale Gaitros | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2005-10-10 |
| 1346238862 | Michael Clark Kinnebrew | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1891026720 | Mehdi Balakhani, M.d., D.d.s., Pa | Plastic Surgery | 2319 Pennsylvania Ave, Wilmington, DE 19806-1318 | 2010-01-15 |
| 1174771133 | Peter R. Coggins Md Pa | Plastic Surgery | 5811 Kennett Pike, Wilmington, DE 19807-1137 | 2008-09-03 |
| 1518146950 | Thomas G. Pottle | Plastic Surgery | 5305 Wrightsville Ave Ste K, Wilmington, NC 28403-6507 | 2007-11-02 |
| 1063438604 | John Joseph Danyo Jr. | Plastic Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807-2029 | 2006-07-15 |
| 1548219967 | Thomas G Pottle Md PC | Plastic Surgery | 5305k Wrightville Ave, Wilmington, NC 28403 | 2006-05-10 |
| 1174157390 | Marcia F Saunders | Plastic Surgery | 3 Westbrae Ln, Wilmington, DE 19807-2026 | 2020-02-26 |
| 1841585072 | Southern Ohio Plastic & Reconstructive Surgical Institute | Plastic Surgery | 630 W Main St, Suite 304, Wilmington, OH 45177-2170 | 2011-06-15 |
| 1790002954 | John William Gillespie IIi | Plastic Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2010-04-28 |
| 1760633861 | Aesthetic Plastic Surgery of Delaware, P.a. | Plastic Surgery | 1600 Pennsylvania Ave, Wilmington, DE 19806-4047 | 2008-10-07 |
| 1750452884 | Edward Joseph Caterson | Plastic Surgery | 1600 Rockland Rd, Wilmington, DE 19803 | 2006-11-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.