SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC (NPI# 1508394990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508394990 |
| Entity Type | Organization |
| Organization Name | SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC |
| Practice Address |
3345 Burns Rd Ste 101 Palm Beach Gardens FL 33410-4304 |
| Practice Telephone | (561) 775-1212 |
| Mailing Telephone | 5617751212 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2018-04-12 |
| Authorized Official Name | MELISSA MARKS (MANAGER) |
| Authorized Official Telephone | 3525141524 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | - |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | OS14397 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3345 BURNS RD STE 101 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518278175 | Melissa Houss Marks | Plastic Surgery | 3345 Burns Rd Ste 101, Palm Beach Gardens, FL 33410 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| 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 |
|---|---|---|---|---|
| 1518278175 | Melissa Houss Marks | Plastic Surgery | 3345 Burns Rd Ste 101, Palm Beach Gardens, FL 33410 | 2010-06-29 |
| 1699884510 | Mark Alan Pinsky | Plastic Surgery | 11020 Rca Center Dr, Suite 2010, Palm Beach Gardens, FL 33410-4277 | 2006-08-30 |
| 1205897519 | Arturo K Guiloff | Plastic Surgery | 2865 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2910 | 2006-03-29 |
| 1740738632 | David A Lickstein Md LLC | Plastic Surgery | 5540 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33418-3987 | 2016-09-20 |
| 1548502396 | Vincent Alan Chavanon | Plastic Surgery | 11020 Rca Center Dr Ste 2010, Palm Beach Gardens, FL 33410-4277 | 2013-03-20 |
| 1295968469 | Brian E Hass Md Pa | Plastic Surgery | 2401 Pga Blvd, Suite 150, Palm Beach Gardens, FL 33410-3590 | 2009-09-03 |
| 1497816169 | Gregory Scott Delange | Plastic Surgery | 2865 Pga Blvd, Palm Beach Gardens, FL 33410-2910 | 2006-12-13 |
| 1275642183 | David Alan Lickstein | Plastic Surgery | 5540 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33418-3987 | 2006-08-30 |
| 1235248162 | Gardens Plastic Surgery | Plastic Surgery | 11020 Rca Center Dr, Suite 2010, Palm Beach Gardens, FL 33410-4277 | 2006-08-30 |
| 1780606665 | Atlantic Coast Plastic Surgery, Pa | Plastic Surgery | 3345 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4324 | 2006-07-23 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
Please comment or provide details below to improve the information on SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC.
| 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.