PASTIC AND RECONSTRUCTIVE SURGERY OF ESSEX COUNTY (NPI# 1518015171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518015171 |
| Entity Type | Organization |
| Organization Name | PASTIC AND RECONSTRUCTIVE SURGERY OF ESSEX COUNTY |
| Practice Address |
6 Essex Center Dr Suite 203 Peabody MA 01960-2910 |
| Practice Telephone | 9785323240 |
| Practice Fax Number | 9785320526 |
| Mailing Telephone | 9785323240 |
| Mailing Fax Number | 9785320526 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM R MOORE (PRINCIPLE PHYSICIAN) |
| Authorized Official Telephone | 9785323240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 29094 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
6 ESSEX CENTER DR SUITE 203 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198217 | Peabody Obgyn, LLC | Obstetrics & Gynecology | 6 Essex Center Dr, Suite 206, Peabody, MA 01960-2910 | 2005-07-19 |
| 1194270413 | St Marys Internal Medicine PC | Clinic/Center | 6 Essex Center Dr, Suite 304, Peabody, MA 01960-2904 | 2016-08-16 |
| 1427434083 | Salem Peabody Oral Surgery Inc. | Clinic/Center | 6 Essex Center Dr, Suite 112a, Peabody, MA 01960-2904 | 2015-08-06 |
| 1003208216 | Essex Neurological Associates | Psychiatry & Neurology | 6 Essex Center Dr, Suite 307, Peabody, MA 01960-2904 | 2015-02-25 |
| 1770992794 | Marguerite Cycz | Registered Nurse | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2014-08-04 |
| 1245642834 | Samantha Synenberg | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2014-05-29 |
| 1639426315 | North Shore Dental Center | Dentist | 6 Essex Center Dr, Ste. 302, Peabody, MA 01960-2904 | 2012-08-13 |
| 1427367101 | North Shore Neurological Associates, Inc. | Internal Medicine | 6 Essex Center Dr, Suite 303, Peabody, MA 01960-2963 | 2010-09-29 |
| 1518279702 | Andrea Shah | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2010-07-05 |
| 1821329111 | Joanne G Brown | Social Worker | 6 Essex Center Dr, Suite 107, Peabody, MA 01960-2904 | 2010-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| 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 |
|---|---|---|---|---|
| 1487629465 | William Paul Adams | Plastic Surgery | 4 Centennial Drive, Ste 202 Adams Ctr for Anesth Surgery, Peabody, MA 01960 | 2006-02-22 |
| 1184622177 | David J Wages | Plastic Surgery | 7 1st Ave, Peabody, MA 01960-4908 | 2005-07-13 |
| 1164557914 | The Adams Seckel Center | Plastic Surgery | 4 Centennial Drive, Ste 202, Peabody, MA 01960 | 2007-02-22 |
| 1437137643 | Keith William Rae | Plastic Surgery | 39 Cross St, Suite 109, Peabody, MA 01960-1670 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083285 | Hpss-wpho, Inc | Plastic Surgery | 92 Montvale Ave Ste 3300, Stoneham, MA 02180-3652 | 2020-05-05 |
| 1134762693 | Clareo Aesthetics | Plastic Surgery | 25 Boylston St Ste 304, Chestnut Hill, MA 02467-1710 | 2019-10-28 |
| 1407375454 | Michael Kutka Md Inc | Plastic Surgery | 62 Brown St Ste 206, Haverhill, MA 01830-6790 | 2017-09-11 |
| 1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
| 1700299245 | Greater Boston Plastic Surgery & Luxe Aesthetics | Plastic Surgery | 10 Roseberry Dr, Boylston, MA 01505-2024 | 2014-06-03 |
| 1831510528 | Aesthetic Plastic Surgery of North Shore PC | Plastic Surgery | 29 Hickory Hill Rd, Manchester, MA 01944-1575 | 2013-12-23 |
| 1881036903 | Richard V. Montilla M.d, P.C. | Plastic Surgery | 123 Summer St Ste 675, Worcester, MA 01608-1216 | 2013-07-18 |
| 1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
| 1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
| 1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
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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.