PATRICK PROFFER, M.D.,P.A. (NPI# 1497933949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497933949 |
| Entity Type | Organization |
| Organization Name | PATRICK PROFFER, M.D.,P.A. |
| Practice Address |
1611 Wallace Blvd Amarillo TX 79106-1763 |
| Practice Telephone | 8063521185 |
| Mailing Telephone | 8063521185 |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | DR. PATRICK J PROFFER (OWNER) |
| Authorized Official Telephone | 8063521185 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | M0532 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 174819602 | 05 |
| Street Address |
1611 WALLACE BLVD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399206 | Patrick Jonathan Proffer | Surgery | 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 2005-10-11 |
| 1164986683 | Proffer Surgical Center, Pllc | Clinic/Center | 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-01-29 |
| 1154736643 | Summer Clark | Dermatology | 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 2014-06-24 |
| 1164441333 | Proffer Surgical Associates, LLP | Ophthalmology | 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 2006-07-19 |
| 1962488676 | Paul L Proffer | Ophthalmology | 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 2005-12-15 |
| 1891770046 | Liana H Proffer | Dermatology | 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
|---|---|---|---|---|
| 1881911360 | Mary Ann Piskun, Md, Pllc | Plastic Surgery | 1801 Halstead St Ste B, Amarillo, TX 79106-1811 | 2010-04-23 |
| 1578670915 | John C Kelleher Jr. | Plastic Surgery | 3215 Hawthorne Dr, Amarillo, TX 79109-3415 | 2006-08-23 |
| 1386051308 | Elise Roe Md Pa | Plastic Surgery | 1301 S Coulter St Ste 413, Amarillo, TX 79106-1763 | 2014-07-22 |
| 1740499953 | Elise Marie May | Plastic Surgery | 1301 S Coulter St, Ste 201, Amarillo, TX 79106-1765 | 2007-05-22 |
| 1679680839 | Mary Ann Piskun | Plastic Surgery | 1801 Halstead St, Suite B, Amarillo, TX 79106-1830 | 2006-08-24 |
| 1992749683 | Rouzbeh K Kordestani Md Pa | Plastic Surgery | 3501 Soncy, St 137, Amarillo, TX 79119 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059063 | Joseph Peter Corkum | Plastic Surgery | 1400 Pressler St Unit 1488, Houston, TX 77030-3722 | 2020-10-06 |
| 1780212829 | Kendall R Roehl Md Pllc | Plastic Surgery | 450 W Medical Center Blvd Ste 202, Webster, TX 77598-4229 | 2020-04-01 |
| 1275184871 | Dallas Premier Plastic Surgery, P.l.l.c. | Plastic Surgery | 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 | 2019-09-25 |
| 1447802798 | Michael Ciaravino, Md Pa | Plastic Surgery | 3700 Buffalo Speedway Ste 850, Houston, TX 77098-3705 | 2019-07-16 |
| 1437617255 | Westlake Dermatology, Pa | Plastic Surgery | 2132 Bissonnet St, Houston, TX 77005-1508 | 2019-03-11 |
| 1528530326 | Peter George Dziewulski | Plastic Surgery | Utmb 301 University Boulevard 6.146 John Sealy Annex, Galveston, TX 77555-0001 | 2018-12-19 |
| 1225504491 | Beleza Surgery Center LLC | Plastic Surgery | 9899 Towne Lake Pkwy Ste 200, Cypress, TX 77433-6838 | 2018-10-15 |
| 1104311901 | Zeynep Deniz Akdeniz Dogan | Plastic Surgery | 1400 Pressler St The University of Texas Md Anderson Ca, Unit 1488, Houston, TX 77030 | 2018-06-25 |
| 1730604992 | Sarah A Frommer Medical Pllc | Plastic Surgery | 11412 Bee Caves Rd Ste 300, Austin, TX 78738-5515 | 2017-08-09 |
| 1992220180 | Johnny U. Franco, Md, Pa | Plastic Surgery | 3445 Executive Center Dr Ste 213, Austin, TX 78731-1743 | 2017-08-08 |
| Find all providers with the same taxonomy | ||||
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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.