EYE AND FACIAL PLASTIC SURGERY CONSULTANTS LLC (NPI# 1609353291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609353291 |
Entity Type | Organization |
Organization Name | EYE AND FACIAL PLASTIC SURGERY CONSULTANTS LLC |
Practice Address |
1203 Newtown-langhorne Road Suite 120 Langhorne PA 19047 |
Mailing Address |
1111 Schrock Rd Ste 200 Columbus OH 43229-1155 |
Practice Telephone | 2157509400 |
Practice Fax Number | 2157507400 |
Mailing Telephone | 6145027240 |
Mailing Fax Number | 8662098989 |
Enumeration Date | 2018-07-26 |
Last Update Date | 2018-07-26 |
Authorized Official Name | DR. ALAN B BRACKUP (MD OWNER) |
Authorized Official Telephone | 2157509400 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
610 W Germantown Pike Ste 161, Plymouth Meeting, PA 194621050 | 6108288880 | 6108288883 |
Street Address |
1203 NEWTOWN-LANGHORNE ROAD SUITE 120 |
City | LANGHORNE |
State | PA |
Zip Code | 19047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
1407475973 | Midiia Shuman | Student in an Organized Health Care Education/Training Program | 1201 Langhorne Newtown Rd., St. Mary Medical Center, Langhorne, PA 19047 | 2020-04-14 |
1750923579 | Alliance Dermatology Physicians, P.C. | Dermatology | 1205 Langhorne Newtown Road Suite 215, Langhorne, PA 19047 | 2019-10-14 |
1487211173 | Avantika Gul Israni | Student in an Organized Health Care Education/Training Program | 1201 Langhorne-newtown Road, St. Mary Medical Center, Langhorne, PA 19047 | 2019-05-29 |
1861955155 | Jordesha Mariska Hodge | Student in an Organized Health Care Education/Training Program | 1201 Langhorne - Newton Rd., Langhorne, PA 19047 | 2019-04-12 |
1932673456 | Kenneth Nagy | Physical Therapy Assistant | 310 E Winchester Ave, Langhorne, PA 19047 | 2019-01-17 |
1104398635 | Woods Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Allgair Cottage, 96 Oakwood Doive, Langhorne, PA 19047 | 2018-12-21 |
1356819411 | Mitchell Perry | Physician Assistant | 1203 Newtown-langhorne Rd, #220, Langhorne, PA 19047 | 2018-11-07 |
1760969992 | Your Orthodontist | Dentist | 586 Middletown Blvd Ste C10, Langhorne, PA 19047 | 2018-07-20 |
1982196036 | Aria Health Physician Services | Orthopaedic Surgery | 380 N Oxford Valley Road, Langhorne, PA 19047 | 2018-06-05 |
Find all providers in zip 19047 |
Taxonomy Code | 207WX0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Ophthalmic Plastic and Reconstructive Surgery |
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669529780 | Paul B Johnson | Ophthalmology | 1923 Mount Vernon St, Philadelphia, PA 19130-3213 | 2007-01-03 |
1881685048 | Daniel E Buerger | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-04 |
1477948412 | Siwei Zhou | Ophthalmology | 840 Walnut St Ste 910, Philadelphia, PA 19107-5599 | 2015-04-06 |
1548689425 | Sana Ali Bautista | Ophthalmology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-04-08 |
1811064561 | Pittsburgh Oculoplastic Associates, Ltd | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2006-11-29 |
1841240827 | Cari Elizabeth Lyle | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2006-05-11 |
1568443166 | Phillip Hyunchul Choo | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-10 |
1730160631 | David G Buerger | Ophthalmology | 5750 Centre Ave Ste 230, Pittsburgh, PA 15206-3761 | 2005-11-08 |
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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.