DEROBERTS PLASTIC SURGERY PLLC (NPI# 1740588607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740588607 |
| Entity Type | Organization |
| Organization Name | DEROBERTS PLASTIC SURGERY PLLC |
| Practice Address |
4850 Broad Rd Suite 2g Syracuse NY 13215-5100 |
| Mailing Address |
4567 Crossroads Park Dr Liverpool NY 13088-3589 |
| Practice Telephone | 3152995313 |
| Practice Fax Number | 3152995661 |
| Mailing Telephone | 3152952100 |
| Mailing Fax Number | 3152952126 |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |
| Authorized Official Name | DR. DEAN DEROBERTS (PRESIDENT) |
| Authorized Official Telephone | 3152995313 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
4850 BROAD RD SUITE 2G |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13215-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344311 | Janice Beaman | Nurse Practitioner | 4850 Broad Rd, Ste 2c, Syracuse, NY 13215-5103 | 2005-05-24 |
| 1700082468 | Susan P Dunbar | Advanced Practice Midwife | 4850 Broad Rd, Cgh Pob Suite 2c, Syracuse, NY 13215-5100 | 2007-06-21 |
| 1568451391 | Mohammad B Tabaie, Md PC | Plastic Surgery | 4850 Broad Rd, Suite 2g, Syracuse, NY 13215-5100 | 2005-10-14 |
| 1285623017 | Mohammad B Tabaie | Plastic Surgery | 4850 Broad Rd, Suite 2g, Syracuse, NY 13215-5100 | 2005-10-14 |
| 1720070774 | Michael J Tamul | Anesthesiology | 4850 Broad Rd, Syracuse, NY 13215-5100 | 2005-08-16 |
| 1801897574 | Advanced Ob Gyn, Pllc | Obstetrics & Gynecology | 4850 Broad Rd, Suite 2c, Syracuse, NY 13215-5100 | 2005-08-03 |
| 1851394811 | Myron O Luthringer | Obstetrics & Gynecology | 4850 Broad Rd, Ste 2c, Syracuse, NY 13215-5103 | 2005-05-24 |
| 1578566436 | Jennifer C Marziale | Obstetrics & Gynecology | 4850 Broad Rd, Ste 2c, Syracuse, NY 13215-5103 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
| 1134752454 | Crystal Elizabeth Hoban | Marriage & Family Therapist | 4922 W. Seneca Turnpike, Syracuse, NY 13215 | 2020-02-14 |
| 1083004907 | Roger G Levine Md | Psychiatric Residential Treatment Facility | 4914 West Seneca Turnpkie, Syracuse, NY 13215 | 2015-01-30 |
| 1558771071 | Edleanna Robinson | Licensed Practical Nurse | 5075 W Seneca Turnpike, Syracuse, NY 13215 | 2014-05-06 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1962778498 | Marie Anne Stevens | Licensed Practical Nurse | 4057 Seneca Tpk, Van Duyn Home and Hospital, Syracuse, NY 13215 | 2012-03-29 |
| 1033439088 | Anna-marie Simpson | Chiropractor | 4922 W Seneca Tpke, Syracuse, NY 13215 | 2010-06-01 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1992948707 | Jesse Reed Gutnick | Surgery | 4900 Borad Rd, Suite 23 North, Syracuse, NY 13215 | 2009-04-08 |
| Find all providers in zip 13215 | ||||
| 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 |
|---|---|---|---|---|
| 1588764294 | Philip Alfred Falcone | Plastic Surgery | 2118 E Genesee St, Syracuse, NY 13210-2218 | 2006-09-23 |
| 1396771424 | Dean Deroberts | Plastic Surgery | 3107 E Genesee St Ste 2g, Syracuse, NY 13224-1646 | 2006-06-23 |
| 1134757891 | Syracuse Plastic Surgery, Pllc | Plastic Surgery | 3107 E Genesee St, Syracuse, NY 13224-1646 | 2020-03-30 |
| 1144408345 | Plastic Surgery Associates of Cny | Plastic Surgery | 725 Irving Ave, Suite 314, Syracuse, NY 13210 | 2008-02-11 |
| 1417136300 | Philip A. Falcone, Md, PC | Plastic Surgery | 2118 E Genesee St, Syracuse, NY 13210-2218 | 2007-10-29 |
| 1861699506 | Prashant K Upadhyaya | Plastic Surgery | 550 Harrison St, Ste. 120, Syracuse, NY 13202-3188 | 2007-06-27 |
| 1851465496 | Plastic & Reconstructive Surgery of Cny PC | Plastic Surgery | 475 Irving Ave, Suite 320, Syracuse, NY 13210-1756 | 2006-11-17 |
| 1821186669 | Frederick Peter Hixson | Plastic Surgery | 725 Irving Ave, Suite 314, Syracuse, NY 13210-1603 | 2006-10-10 |
| 1710992466 | Bruce Berner Shafiroff | Plastic Surgery | 475 Irving Ave, Suite 320, Syracuse, NY 13210-1756 | 2006-07-30 |
| 1568451391 | Mohammad B Tabaie, Md PC | Plastic Surgery | 4850 Broad Rd, Suite 2g, Syracuse, NY 13215-5100 | 2005-10-14 |
| Find all providers in SYRACUSE | ||||
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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.