PHOENIX PLASTIC SURGERY, PLLC (NPI# 1508421819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508421819 |
| Entity Type | Organization |
| Organization Name | PHOENIX PLASTIC SURGERY, PLLC |
| Practice Address |
9250 N 3rd St Ste 1003 Phoenix AZ 85020-2402 |
| Mailing Address |
7575 E Redfield Rd Ste 235 Scottsdale AZ 85260-3929 |
| Practice Telephone | 6023317811 |
| Practice Fax Number | 8338078800 |
| Mailing Telephone | 3046859808 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | DR. RONI B PRUCZ (MANAGING PARTNER) |
| Authorized Official Telephone | 4806250003 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
9250 N 3RD ST STE 1003 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902929508 | Lewis Albert Andres | Plastic Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2412 | 2007-04-09 |
| 1457969115 | Regenerative Institute Pllc | Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2020-07-20 |
| 1538685714 | Advanced Reconstructive Surgical Associates Pllc | Plastic Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2017-08-18 |
| 1326453069 | Advanced Reconstructive Surgeons Pllc | Specialist | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2014-06-20 |
| 1912340043 | Kyle Sanniec | Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2013-04-08 |
| 1386886943 | Roni Benjamin Prucz | Plastic Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2009-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144430182 | Jason Lee Mussman | Surgery | 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 | 2007-05-22 |
| 1801832977 | Tamir Mosharrafa | Surgery | 4611 E Shea Blvd Ste 230, Phoenix, AZ 85028 | 2006-06-20 |
| 1598705410 | Robert J Mcgregor | Surgery | 7601 N Central Ave, Unit 23, Phoenix, AZ 85020-4079 | 2006-06-08 |
| 1457303471 | Ali M Mosharrafa | Surgery | 4611 E Shea Blvd, Suite 230, Phoenix, AZ 85028-4254 | 2006-05-17 |
| 1730138561 | Travis C Holcombe | Surgery | 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3420 | 2006-05-09 |
| 1104817378 | Barry Fernando | Surgery | 2777 E Camelback Rd Ste 140, #780, Phoenix, AZ 85016-4351 | 2005-11-04 |
| 1275521635 | Marc E Gottlieb | Surgery | 1012 E Willetta Street, Phoenix, AZ 85006 | 2005-10-10 |
| 1457969115 | Regenerative Institute Pllc | Surgery | 9250 N 3rd St Ste 1003, Phoenix, AZ 85020-2402 | 2020-07-20 |
| 1164058954 | Leland H Webb Md Plastic Surgery Plc | Surgery | 300 W Clarendon Ave Ste 440, Phoenix, AZ 85013-3476 | 2020-03-12 |
| 1972086924 | Regency Reconstruction Pllc | Surgery | 10240 W Indian School Rd Ste 115, Phoenix, AZ 85037-5905 | 2018-09-14 |
| Find all providers in PHOENIX | ||||
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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.