CRANIOFACIAL, RECONSTRUCTIVE AND COSMETIC SURGERY ASSOCIATES, LLC (NPI# 1447673173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447673173 |
| Entity Type | Organization |
| Organization Name | CRANIOFACIAL, RECONSTRUCTIVE AND COSMETIC SURGERY ASSOCIATES, LLC |
| Practice Address |
6705 Sw 57th Ave Ste 510 South Miami FL 33143-3644 |
| Mailing Address |
1949 Isla De Palma Cir Naples FL 34119-3403 |
| Practice Telephone | 7864714299 |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2015-01-24 |
| Authorized Official Name | DR. STONE R THAYER (PRESIDENT) |
| Authorized Official Telephone | 7864714299 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | ME114524 | FL | Allopathic & Osteopathic Physicians |
| Y | 204E00000X | Oral & Maxillofacial Surgery | ME114524 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PENDING | 05 |
| Street Address |
6705 SW 57TH AVE STE 510 |
| City | SOUTH MIAMI |
| State | FL |
| Zip Code | 33143-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839325 | Novo Health Solutions Inc | Nurse Practitioner | 6705 Sw 57th Ave Ste 510, South Miami, FL 33143-3644 | 2020-07-23 |
| 1013550615 | Nielys Francis Ingles Diaz | Nurse Practitioner | 6705 Sw 57th Ave Ste 510, South Miami, FL 33143-3644 | 2019-10-26 |
| 1013437839 | Christine Garcia | Nurse Practitioner | 6705 Sw 57th Ave Ste 510, South Miami, FL 33143-3644 | 2017-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1326504077 | Zavita Life Health & Wellness | Clinic/Center | 6104 S Dixie Hwy, Miami, FL 33143 | 2019-02-19 |
| 1629548706 | Floridacare Medical Centers Inc | Internal Medicine | 434 Sw 12 Ave, Miami, FL 33143 | 2018-11-30 |
| 1649766197 | Demys D Gonzalez | Nurse Practitioner | 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 | 2018-07-09 |
| 1225529373 | Marjory P Camargo Bermejo | Behavior Technician | 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 | 2018-05-24 |
| 1609365147 | Foot Ankle and Knee Mri LLC | Clinic/Center | 7520 Sw 57th Ave Ste A, South Miami, FL 33143 | 2018-05-09 |
| 1871082024 | Healing Counseling Services, LLC | Counselor | 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 | 2018-05-03 |
| 1750882957 | Aba Therapy & Instruction Corp | Behavioral Analyst | 8101 Camino Real Apt C-204, Miami, FL 33143 | 2018-02-22 |
| Find all providers in zip 33143 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1447625579 | Michael M Hashemian Dmd Md Pa | Oral & Maxillofacial Surgery | 32 Seven Hills Dr, Spring Hill, FL 34609-0212 | 2015-12-01 |
| 1629486097 | Oral Surgery Associates | Oral & Maxillofacial Surgery | 195 W Highland Street, Altamonte Springs, FL 32714 | 2014-07-29 |
| 1356601249 | First Coast Oral & Facial Surgery, Pa | Oral & Maxillofacial Surgery | 319 W Town Place, Suite 2, St Augustine, FL 32092 | 2012-05-24 |
| 1043582331 | Scott E. Farber, Dds.,p.a | Oral & Maxillofacial Surgery | 5150 Curry Ford Rd, Orlando, FL 32812-8744 | 2012-02-01 |
| 1760613426 | Jason E. Portnof | Oral & Maxillofacial Surgery | 9980 Central Park Blvd N Ste 113, Boca Raton, FL 33428-1703 | 2009-07-29 |
| 1497984785 | Ricardo M Ortiz | Oral & Maxillofacial Surgery | 2929 Capital Medical Blvd, Tallahassee, FL 32308-4407 | 2009-07-08 |
| 1992983654 | Patricia Hornback Dmd | Oral & Maxillofacial Surgery | 2426 Jenks Ave, Panama City, FL 32405-4908 | 2008-02-05 |
| 1821290305 | Marvin Craig Diamond | Oral & Maxillofacial Surgery | 5521 Bilbao Pl, Sarasota, FL 34238-4708 | 2007-06-05 |
| 1912048240 | Facial Surgery Center Pa | Oral & Maxillofacial Surgery | 1371 Bedford Drive, Melbourne, FL 32940 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH MIAMI |
| Zip Code | 33143 |
Please comment or provide details below to improve the information on CRANIOFACIAL, RECONSTRUCTIVE AND COSMETIC SURGERY ASSOCIATES, LLC.
| 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.