PLASTIC AND RECONSTRUCTIVE SURGERY PC (NPI# 1851411490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851411490 |
| Entity Type | Organization |
| Organization Name | PLASTIC AND RECONSTRUCTIVE SURGERY PC |
| Practice Address |
1433 Stovall St Augusta GA 30904-4883 |
| Practice Telephone | 7067366806 |
| Practice Fax Number | 7067331168 |
| Mailing Telephone | 7067366806 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM J WELSH (PRESIDENT) |
| Authorized Official Telephone | 7067366806 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 017993 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GPA913 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215167580 | Plastic and Reconstructive Surgery PC | Legal Medicine | 1303 Sunset Dr Ste 5, Johnson City, TN 37604-7905 | 2009-07-21 |
| Street Address |
1433 STOVALL ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407838527 | William Joseph Welsh | Otolaryngology | 1433 Stovall St, Augusta, GA 30904-4883 | 2005-11-15 |
| 1780854489 | Summerville Surgical Center LLC | Clinic/Center | 1433 Stovall St, Augusta, GA 30904-4883 | 2008-03-10 |
| 1366623837 | J.d. Anaesthesia Services LLC | Anesthesiology | 1433 Stovall St, Augusta, GA 30904-4883 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| 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 |
|---|---|---|---|---|
| 1366892705 | Muamer Mirza Mujadzic | Plastic Surgery | 3547 Interlachen Dr, Augusta, GA 30907-9528 | 2016-06-16 |
| 1972711844 | Nicholas Jones | Plastic Surgery | 1467 Harper St, Hb 5040, Augusta, GA 30901-2600 | 2007-05-21 |
| 1346301231 | Robert Charles Dinsmore | Plastic Surgery | Georgia Regents University Plastic Surgery, 1467 Harper Street, Hb5040, Augusta, GA 30912-0004 | 2006-12-13 |
| 1306853916 | Gerald J Khachi | Plastic Surgery | 1467 Harper Street, Augusta, GA 30912 | 2006-08-03 |
| 1710249966 | Gary Williamson, M.d., P.C. | Plastic Surgery | 2258 Wrightsboro Rd, Suite 180, Augusta, GA 30904-4887 | 2012-06-13 |
| 1285898247 | Mouchammed Agko | Plastic Surgery | 1120 15th St, Augusta, GA 30912-2570 | 2008-07-17 |
| 1184807679 | Kenna S. Given, Md PC | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2007-12-07 |
| 1053473504 | Juan Manuel Lopez | Plastic Surgery | 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909-1868 | 2006-12-14 |
| 1982793378 | Edmond F. Ritter | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2006-10-12 |
| 1538270210 | Jack C Yu | Plastic Surgery | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-31 |
| Find all providers in AUGUSTA | ||||
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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.