FREDERICK RECONSTRUCTIVE SERVICES LLC (NPI# 1700247202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700247202 |
| Entity Type | Organization |
| Organization Name | FREDERICK RECONSTRUCTIVE SERVICES LLC |
| Practice Address |
5205 Frederick St Savannah GA 31405-4500 |
| Practice Telephone | 6318278159 |
| Mailing Telephone | 6318278159 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |
| Authorized Official Name | MATHEW JAMES (BILLING MANAGER) |
| Authorized Official Telephone | 6318278159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
5205 FREDERICK ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710977632 | Daniel Most | Plastic Surgery | 5205 Frederick St, Ste A, Savannah, GA 31405-4501 | 2005-10-22 |
| 1871840033 | Most Plastic & Reconstructive Surgery PC | Plastic Surgery | 5205 Frederick St, Ste A, Savannah, GA 31405-4501 | 2012-08-07 |
| 1093079402 | Cannon Plastic & Reconstructive Surgery PC | Plastic Surgery | 5205 Frederick St, Savannah, GA 31405-4501 | 2012-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1942578539 | Most Plastic & Reconstructive Surgery, PC | Plastic Surgery | 5205 Frederick St Ste A, Savannah, GA 31405-4520 | 2011-12-09 |
| 1184786139 | Thomas William Horn | Plastic Surgery | 5361 Reynolds Street, Savannah, GA 31405-6016 | 2006-12-15 |
| 1205995826 | Carl Pearl | Plastic Surgery | 7208 Hodgson Memorial Dr., Savannah, GA 31406-2515 | 2006-12-08 |
| 1710977632 | Daniel Most | Plastic Surgery | 5205 Frederick St, Ste A, Savannah, GA 31405-4501 | 2005-10-22 |
| 1245226471 | Barbara L Davies | Plastic Surgery | 7208 Hodgson Memorial Drive, Savannah, GA 31406-2512 | 2005-09-22 |
| 1619976107 | William Hugus Dascombe | Plastic Surgery | 5361 Reynolds St, Savannah, GA 31405-6014 | 2005-07-18 |
| 1962922476 | Savannah Plastic Surgicenter Inc | Plastic Surgery | 7208 Hodgson Memorial Dr, Savannah, GA 31406-2512 | 2017-06-26 |
| 1871840033 | Most Plastic & Reconstructive Surgery PC | Plastic Surgery | 5205 Frederick St, Ste A, Savannah, GA 31405-4501 | 2012-08-07 |
| 1093079402 | Cannon Plastic & Reconstructive Surgery PC | Plastic Surgery | 5205 Frederick St, Savannah, GA 31405-4501 | 2012-06-29 |
| 1639447642 | Cannon Plastic & Reconstructive Surgery PC | Plastic Surgery | 4750 Waters Ave, Suite 512, Savannah, GA 31404-6200 | 2011-12-05 |
| Find all providers in SAVANNAH | ||||
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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.