NORTHSHORE PLASTIC SURGERY, LLC (NPI# 1548268535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548268535 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE PLASTIC SURGERY, LLC |
| Practice Address |
4 Centennial Dr Ste 102 Peabody MA 01960-7935 |
| Mailing Address |
340 Main St Ste. 670 Worcester MA 01608-1604 |
| Practice Telephone | 9785316966 |
| Practice Fax Number | 9785312221 |
| Mailing Telephone | 5087543566 |
| Mailing Fax Number | 5087988012 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID J WAGES (PRESIDENT) |
| Authorized Official Telephone | 9785316966 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9707573 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568690469 | Northshore Plastic Surgery, LLC | Plastic Surgery | 4000 Lonesome Road, Suite A, Mandeville, LA 70471 | 2009-06-30 |
| Street Address |
4 CENTENNIAL DR STE 102 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-7935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612829 | Kate Rudolph | Physician Assistant | 4 Centennial Dr, Ste 201, Peabody, MA 01960-7930 | 2019-05-01 |
| 1629475736 | New England Orthopedic Specialists, LLC | Orthopaedic Surgery | 4 Centennial Dr, Suite 201, Peabody, MA 01960-7935 | 2014-12-04 |
| 1720324205 | Susan A Hennessey | Nurse Practitioner | 4 Centennial Dr, Suite 204, Peabody, MA 01960-7935 | 2013-01-02 |
| 1659689123 | Rebecca Catherine Winslett | Physician Assistant | 4 Centennial Dr, Suite 201, Peabody, MA 01960-7935 | 2010-09-18 |
| 1891001699 | New England Orthopedic Specialists LLC | Internal Medicine | 4 Centennial Dr, Suite 201, Peabody, MA 01960-7935 | 2010-08-31 |
| 1922328293 | Peabody Surgery Center, LLC. | Clinic/Center | 4 Centennial Dr, Suite 102, Peabody, MA 01960-7935 | 2010-06-09 |
| 1811214471 | Kelly Pajela | Physical Medicine & Rehabilitation | 4 Centennial Dr, Suite 204, Peabody, MA 01960-7935 | 2010-04-22 |
| 1790913218 | Erycka E Florie | Orthopaedic Surgery | 4 Centennial Dr, Suite 201, Peabody, MA 01960-7935 | 2009-06-23 |
| 1629298658 | Heather Parry | Surgery | 4 Centennial Dr, Suite 201, Peabody, MA 01960-7935 | 2007-05-01 |
| 1629196233 | Margaret A. Robinson | Physical Medicine & Rehabilitation | 4 Centennial Dr, Suite 204, Peabody, MA 01960-7935 | 2007-03-26 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1336792498 | Dexterity Hand Surgery, LLC | Surgery | 100 Unicorn Park Dr Ste 102, Woburn, MA 01801-3379 | 2019-07-18 |
| 1528280203 | Plastic Surgery Specialists | Surgery | 332 Washington St., Wellesley, MA 02481 | 2007-05-03 |
| 1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
| 1750423711 | Curtis Ngau | Surgery | 231 Worcester Rd, Framingham, MA 01701-5346 | 2007-02-13 |
| 1821195439 | Richard A Peinert | Surgery | Post Office Square, Lynnfield Medical Build, Lynnfield, MA 01940 | 2006-09-19 |
| 1710095559 | Katherine D Hein Md PC | Surgery | 117 West Central Street, Suite 203, Natick, MA 01760 | 2006-08-29 |
| 1598780363 | Katherine D Hein | Surgery | 117 W Central Street, Suite 203, Natick, MA 01760-4383 | 2006-07-13 |
| 1831138825 | Kenneth A Marshall | Surgery | 204 Worcester St, Wellesley Hills, MA 02481-5420 | 2006-06-05 |
| 1932148939 | Sumner A Slavin | Surgery | 200 Boylston St Ste 307, Chestnut Hill, MA 02467-2008 | 2006-06-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHSHORE PLASTIC SURGERY, 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.