JACKSONVILLE PLASTIC SURGERY INC (NPI# 1588985972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588985972 |
| Entity Type | Organization |
| Organization Name | JACKSONVILLE PLASTIC SURGERY INC |
| Practice Address |
3599 University Blvd S Suite 1600 Jacksonville FL 32216-4252 |
| Practice Telephone | 9043460060 |
| Practice Fax Number | 9043460065 |
| Mailing Telephone | 9043460060 |
| Mailing Fax Number | 9043460065 |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2010-09-28 |
| Authorized Official Name | DR. JOHN J OBI (PRESIDENT) |
| Authorized Official Telephone | 9043460060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME027754 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID NUMBER | 55094 | 01 |
| Street Address |
3599 UNIVERSITY BLVD S SUITE 1600 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568952 | Dawn Nichelle Rosado | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2005-06-14 |
| 1568061158 | Azucena Crosbie | Social Worker | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-10-23 |
| 1033735139 | Kristen Duncan | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-06-24 |
| 1336763184 | Amanda Ault | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-06-07 |
| 1699309989 | Christina Brown | Nurse Practitioner | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-02-26 |
| 1396383949 | Abby Maillet | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-12-13 |
| 1760034383 | Lauren Campbell Vann | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-13 |
| 1740842178 | Charmaine Uy | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-06 |
| 1871155317 | Michael Braun | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-05 |
| 1023670775 | Alys Cook | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| 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 |
|---|---|---|---|---|
| 1699831644 | Loren Zalman Clayman | Plastic Surgery | 1801 Barrs Street Suite 200, Jacksonville, FL 32204 | 2006-12-27 |
| 1134217839 | Thomas Joseph Rojy Jr. | Plastic Surgery | 43 Office Park Dr, Jacksonville, NC 28546-3220 | 2006-10-10 |
| 1881678753 | Erez Gabriel Sternberg | Plastic Surgery | 7711 Baymeadows Rd E, Suite #6, Jacksonville, FL 32256-9675 | 2005-12-02 |
| 1336138734 | Mohamad Reza Samiian | Plastic Surgery | 4221 Southpoint Pkwy, Jacksonville, FL 32216 | 2005-10-18 |
| 1861495723 | David Winton Mobley | Plastic Surgery | 5101 Gate Parkway, Suite 2, Jacksonville, FL 32256-7276 | 2005-05-24 |
| 1720354046 | Body Balance Md | Plastic Surgery | 6817 Southpoint Pkwy, Suite 801, Jacksonville, FL 32216 | 2012-03-30 |
| 1902108020 | Sofia K. Kirk, M.d., Pllc | Plastic Surgery | 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 | 2010-11-22 |
| 1417262288 | Mclane Medical, Inc. | Plastic Surgery | 13241 Bartram Park Blvd, Ste 1017, Jacksonville, FL 32258-5212 | 2010-08-17 |
| 1760797773 | Thomas J Rojy Jr Md Pa | Plastic Surgery | 43 Office Park Dr, Jacksonville, NC 28546-3220 | 2010-08-13 |
| 1891921581 | Truyou Plastic Surgery of Jacksonville Pllc | Plastic Surgery | 7711 Baymeadows Rd E, Suite #6, Jacksonville, FL 32256-9675 | 2009-06-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.