SHASHIDHAR KUSUMA (NPI# 1598770430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598770430 |
| Entity Type | Individual |
| Full Name | SHASHIDHAR KUSUMA |
| Credential | M.D. |
| Practice Address |
8430 W Broward Blvd Suite 200 Plantation FL 33324-2700 |
| Practice Telephone | 9544728355 |
| Practice Fax Number | 9544728220 |
| Mailing Telephone | 9544728355 |
| Mailing Fax Number | 9544728220 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2010-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
107122 | FL | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 107122 | FL | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 35088257 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2670104 | 05 |
| Street Address |
8430 W BROWARD BLVD SUITE 200 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548296379 | Ellen S Mass | Nurse Practitioner | 8430 W Broward Blvd, Childrens Medical Association, Plantation, FL 33324-2700 | 2006-06-23 |
| 1093291916 | Nicole Quick | Nurse Practitioner | 8430 W Broward Blvd, Plantation, FL 33324-2700 | 2018-07-13 |
| 1619400264 | Anamaria Patzke | Pediatrics | 8430 W Broward Blvd, Plantation, FL 33324-2700 | 2017-04-10 |
| 1386043529 | Ideal Health and Rehab, Pl | Chiropractor | 8430 W Broward Blvd, Ste 250, Plantation, FL 33324-2700 | 2014-08-13 |
| 1326454240 | Whittney Berezo | Nurse Practitioner | 8430 W Broward Blvd, Plantation, FL 33324-2700 | 2014-07-11 |
| 1881985042 | Mitchell Robert Epstein | Dentist | 8430 W Broward Blvd, Suite 100, Plantation, FL 33324-2700 | 2011-04-22 |
| 1720396096 | Suria Plastic Surgery P.l. | Otolaryngology | 8430 W Broward Blvd, Suite 200, Plantation, FL 33324-2700 | 2010-09-20 |
| 1467780668 | Brian C Pilato | Pediatrics | 8430 W Broward Blvd, Plantation, FL 33324 | 2009-11-27 |
| 1265625784 | David Nathan Alperstein | Plastic Surgery | 8430 W Broward Blvd, Suite 200, Plantation, FL 33324-2700 | 2007-08-20 |
| 1053539171 | B&e Dental | Dentist | 8430 W Broward Blvd, Suite 100, Plantation, FL 33324-2700 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1285642124 | Alperstein Plastic Surgery Pa | Plastic Surgery | 8430 West Broward Blvd, #200, Plantation, FL 33324 | 2006-08-04 |
| 1194788026 | Russell Frank Sassani | Plastic Surgery | 4161 Nw 5th St, Suite 100, Plantation, FL 33317 | 2006-04-11 |
| 1659760460 | Nirmal R. Nathan, M.d., P.a. | Plastic Surgery | 205 Sw 84th Ave, Plantation, FL 33324-2708 | 2015-01-16 |
| 1992032544 | Nirmal Nathan | Plastic Surgery | 205 Sw 84th Ave, Plantation, FL 33324-2708 | 2009-11-03 |
| 1265625784 | David Nathan Alperstein | Plastic Surgery | 8430 W Broward Blvd, Suite 200, Plantation, FL 33324-2700 | 2007-08-20 |
| 1376663732 | Gary Robert Torian | Plastic Surgery | 220 Sw 84th Ave, Suite 105, Plantation, FL 33324 | 2007-03-30 |
| 1972609816 | Take Shape Plastic Surgery Pa | Plastic Surgery | 4161 Nw 5th St, Suite 100, Plantation, FL 33317-2101 | 2006-09-16 |
| 1497704985 | Take Shape Surgery Center LLC | Plastic Surgery | 4161 Nw 5th St, Suite 100, Plantation, FL 33317 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275166720 | Ph1 Miami | Plastic Surgery | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-02-12 |
| 1720619927 | Jhs Surgical Pavillion LLC | Plastic Surgery | 3319 S State Road 7 Ste 107, Wellington, FL 33449-8099 | 2020-01-28 |
| 1861048498 | Alexandra Conde Green Md Pa | Plastic Surgery | 4788 N Citation Dr Apt 105, Delray Beach, FL 33445-6532 | 2019-08-09 |
| 1962062885 | Zunilda Rodriguez Martinez | Plastic Surgery | 7360 Sw 24th St, Miami, FL 33155-1498 | 2019-06-13 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1508335985 | Plastic Surgery Associates of Miami | Plastic Surgery | 6541 Sw 76th Ter, South Miami, FL 33143-4656 | 2018-11-15 |
| 1023592177 | Lake Mary Plastic and Cosmetic Surgery Pa | Plastic Surgery | 934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165 | 2018-09-24 |
| 1790271096 | Rsm Plastic Surgery, Pa | Plastic Surgery | 3300 W Lake Mary Blvd Ste 210, Lake Mary, FL 32746-3499 | 2018-07-10 |
| 1609306877 | South Beach Plastic Surgery, P.a. | Plastic Surgery | 1820 James Ave Apt 6d, Miami Beach, FL 33139-7462 | 2017-06-19 |
| 1295278943 | Florida Dermatology Plastic Surgery LLC | Plastic Surgery | 6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039 | 2016-11-29 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.