CENTER FOR PLASTIC SURGERY (NPI# 1265065668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265065668 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PLASTIC SURGERY |
| Other Organization Name | CENTER FOR PLASTIC SURGERY |
| Practice Address |
4450 31st Ave S Ste 102 Fargo ND 58104-4557 |
| Practice Telephone | 2187919888 |
| Mailing Telephone | 7014122400 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | DR. NICHOLAS S ADAMS (OWNER) |
| Authorized Official Telephone | 2187919888 |
| 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 |
| Other Name | Type Code |
|---|---|
| Center for Plastic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053506980 | Center for Plastic Surgery | Plastic Surgery | 7033 Saint Andrews Rd, Suite 204, Columbia, SC 29212-1179 | 2007-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Center For Plastic Surgery, P.C. | 3920 N. Union Boulevard, Suite #250, Colorado Springs, CO 80907 |
| Street Address |
4450 31ST AVE S STE 102 |
| City | FARGO |
| State | ND |
| Zip Code | 58104-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245286988 | Brent M Hella | Internal Medicine | 4450 31st Ave S Ste 102, Fargo, ND 58104-4557 | 2006-05-25 |
| 1720633373 | Mark E Domaas LLC | Podiatrist | 4450 31st Ave S Ste 102, Fargo, ND 58104-4557 | 2019-08-09 |
| 1144313743 | Internal Medicine Associates Inc | Internal Medicine | 4450 31st Ave S Ste 102, Fargo, ND 58104-4557 | 2006-10-02 |
| 1174541874 | Steven Glenn Clemenson | Internal Medicine | 4450 31st Ave S Ste 102, Fargo, ND 58104-4557 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| 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 |
|---|---|---|---|---|
| 1396184859 | Nicholas Steven Adams | Plastic Surgery | 4450 31st Ave S, Ste 102, Fargo, ND 58104-4557 | 2013-06-18 |
| 1558448712 | Donald Richard Lamb | Plastic Surgery | 1507 South University Drive, Fargo, ND 58103 | 2006-11-01 |
| 1457353690 | Ahmed Abdullah | Plastic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2005-06-01 |
| 1659620110 | Fargo Plastic Surgery PC | Plastic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2012-08-30 |
| 1841357399 | Charles I Benjamin Md PC | Plastic Surgery | 3280 20th St S, Fargo, ND 58104-5917 | 2007-01-03 |
| 1396802757 | William Yvorchuk Mdcm | Plastic Surgery | 3270 20th St S, Fargo, ND 58104-5917 | 2007-01-03 |
| 1366513970 | Pamela Marie Antoniuk | Plastic Surgery | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802430 | Anthony Kevin Muiderman | Plastic Surgery | 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2005-09-21 |
| 1629321856 | J L Crow Plastic Surgery Services | Plastic Surgery | 1191 South Columbia Road, Grand Forks, ND 58201-4033 | 2012-10-25 |
| 1659525640 | Jaron Hudson Mcmullin | Plastic Surgery | 3165 Demers Ave - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2008-11-04 |
| 1124280649 | Theresa Anne Hegge | Plastic Surgery | 222 N 7th St, Bismarck, ND 58501-4436 | 2008-06-26 |
| 1811166325 | Ricky Becker Md PC | Plastic Surgery | 1500 Interchange Ave, Ste 100, Bismarck, ND 58501-2079 | 2008-02-28 |
| 1720131451 | Steven Gary Yearsley | Plastic Surgery | 401 N 9th St, Bismarck, ND 58501-4530 | 2007-01-18 |
| 1932275088 | Noren Bradly Meland | Plastic Surgery | 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 | 2006-11-28 |
| 1477655660 | Ricky C. Becker | Plastic Surgery | 300 N 7th St, Bismarck, ND 58501-4439 | 2006-09-01 |
| 1093738064 | David G Dibbell Jr. | Plastic Surgery | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-07-25 |
| 1790705168 | Rick L Paulson | Plastic Surgery | 115 W Century Ave, Suite B, Bismark, ND 58803 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTER FOR PLASTIC SURGERY.
| 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.