PLASTIC SURGERY SPECIALISTS PC (NPI# 1780743526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780743526 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY SPECIALISTS PC |
| Other Organization Name | RONALD G. WORLAND, M.D. |
| Practice Address |
2959 Siskiyou Blvd Suite A Medford OR 97504-8131 |
| Practice Telephone | 5417732110 |
| Practice Fax Number | 5417347368 |
| Mailing Telephone | 5417732110 |
| Mailing Fax Number | 5417347368 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | RONALD GLENN WORLAND (OWNER) |
| Authorized Official Telephone | 5417732110 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD10533 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 019802 | 05 |
| Other Name | Type Code |
|---|---|
| Ronald G. Worland, M.D. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164521241 | Plastic Surgery Specialists PC | Surgery | 1288 Valley Forge Rd Suite 65, Phoenixville, PA 19460 | 2006-09-22 |
| 1649453945 | Plastic Surgery Specialists PC | Plastic Surgery | 8701 Troost Ave, Kansas City, MO 64131-2767 | 2007-12-10 |
| Street Address |
2959 SISKIYOU BLVD SUITE A |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225075377 | Dwight R Tribelhorn | Specialist | 2959 Siskiyou Blvd, #b, Medford, OR 97504-8131 | 2006-05-31 |
| 1316331325 | Jennifer Sigrid Barklund | Dermatology | 2959 Siskiyou Blvd, Medford, OR 97504-8131 | 2015-03-27 |
| 1548526114 | Laurel Naversen Geraghty | Dermatology | 2959 Siskiyou Blvd, Ste B, Medford, OR 97504-8131 | 2012-04-07 |
| 1780940734 | Leon Norman Hsu | Dermatology | 2959 Siskiyou Blvd, Ste B, Medford, OR 97504-8131 | 2012-04-04 |
| 1861677460 | Ronald G Worland | Surgery | 2959 Siskiyou Blvd, Ste A, Medford, OR 97504-8131 | 2008-01-02 |
| 1336294321 | Dermatology and Laser Associates of Medford | Dermatology | 2959 Siskiyou Blvd, #b, Medford, OR 97504-8131 | 2007-01-23 |
| 1205944782 | Brian Kreul | Plastic Surgery | 2959 Siskiyou Blvd, Suite A, Medford, OR 97504-8131 | 2006-08-26 |
| 1568405496 | Douglas N Naversen | Specialist | 2959 Siskiyou Blvd, #b, Medford, OR 97504-8131 | 2006-06-14 |
| 1568403228 | Jon David Igelman | Specialist | 2959 Siskiyou Blvd, #b, Medford, OR 97504-8131 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1437147048 | Robert Mark Jensen | Plastic Surgery | 1353 E Mcandrews Rd, Medford, OR 97504-6105 | 2005-10-07 |
| 1912057134 | Stephen F Lovich LLC | Plastic Surgery | 1170 Royal Ave, Medford, OR 97504-6101 | 2007-01-11 |
| 1649339821 | Earl H Parrish | Plastic Surgery | 701 Golf View Dr, Medford, OR 97504-9643 | 2006-12-06 |
| 1366532442 | Stephen Lovich | Plastic Surgery | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-10-13 |
| 1205944782 | Brian Kreul | Plastic Surgery | 2959 Siskiyou Blvd, Suite A, Medford, OR 97504-8131 | 2006-08-26 |
| 1972553097 | Center for Cosmetic & Plastic Surgery, Inc. | Plastic Surgery | 1353 E Mcandrews Rd, Medford, OR 97504-6105 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437573185 | Portland Plastic Surgery Group, LLC | Plastic Surgery | 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 | 2014-02-14 |
| 1811255250 | Richard Sean Mcnally | Plastic Surgery | 5050 Ne Hoyt St Ste 422, Portland, OR 97213 | 2012-04-23 |
| 1073891172 | Amanda K Nelson | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702 | 2011-07-25 |
| 1811284433 | Ivan Nicolas Vial | Plastic Surgery | 2450 Ne Mary Rose Pl Ste 201, Bend, OR 97701-7133 | 2011-07-03 |
| 1942507819 | James A Kilgore Md, PC | Plastic Surgery | 19250 Sw 65th Ave Ste 365, Tualatin, OR 97062-7747 | 2011-02-11 |
| 1710140215 | Shiliang Chang | Plastic Surgery | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2008-07-03 |
| 1770742207 | Christopher Stephen Zarella | Plastic Surgery | 501 N Graham St Ste 300, Portland, OR 97227-2008 | 2008-06-09 |
| 1841475803 | Northwest Cosmetic Surgery, LLC | Plastic Surgery | 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140 | 2008-01-08 |
| 1093937468 | Margo S Herron | Plastic Surgery | 638 N Main St Ste C, Ashland, OR 97520-1887 | 2007-05-03 |
| 1871623678 | Shane Christopher Kim | Plastic Surgery | 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 | 2007-03-07 |
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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.