DALLAS PLASTIC SURGERY INSTITUTE MANAGEMENT, PA (NPI# 1871017913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871017913 |
| Entity Type | Organization |
| Organization Name | DALLAS PLASTIC SURGERY INSTITUTE MANAGEMENT, PA |
| Other Organization Name | DPSIM |
| Practice Address |
9101 N Central Expy Ste 600 Dallas TX 75231-5956 |
| Practice Telephone | (214) 823-5023 |
| Practice Fax Number | 2148871897 |
| Mailing Telephone | 2148235023 |
| Mailing Fax Number | 2148871897 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | DR. BRADLEY HUBBARD (OWNER) |
| Authorized Official Telephone | 2148235023 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DPSIM | Other Name - Individual/Organization |
| Street Address |
9101 N CENTRAL EXPY STE 600 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-5956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095173 | Gena Willard Marshall | Physician Assistant | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2005-10-03 |
| 1376152090 | Yash Avashia Md Pllc | Plastic Surgery | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2020-07-28 |
| 1972138105 | Morgan Sylo | Physician Assistant | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2020-03-09 |
| 1376187922 | Mackenzie Bulloch | Nurse Practitioner | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2019-11-06 |
| 1811546757 | Kristen Suzanne Kirby | Nurse Practitioner | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2019-09-04 |
| 1124512256 | Surgical Assistant Institute of North Texas | Registered Nurse | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2018-06-21 |
| 1780188565 | Amber Jean Ellington | Physician Assistant | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2018-03-19 |
| 1285147587 | Amber Chevrie Lovell | Registered Nurse | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2017-11-08 |
| 1497266290 | Shauna Marie Jimenez | Surgery | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2017-10-19 |
| 1508386699 | Kassi L Brooks | Speech-Language Pathologist | 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 | 2017-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| 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 |
|---|---|---|---|---|
| 1275184871 | Dallas Premier Plastic Surgery, P.l.l.c. | Plastic Surgery | 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 | 2019-09-25 |
| 1467989822 | Dauwe Plastic Surgery, Pllc | Plastic Surgery | 2801 Lemmon Ave Ste 310, Dallas, TX 75204-0355 | 2017-05-17 |
| 1376921734 | Trinity Plastic Surgery Pllc | Plastic Surgery | 221 W Colorado Blvd Ste 441, Dallas, TX 75208-2312 | 2015-05-18 |
| 1194018796 | Huay-zong Law | Plastic Surgery | 9101 N Central Expy Ste 595, Dallas, TX 75231-6080 | 2011-05-16 |
| 1295027548 | Steven John White | Plastic Surgery | 8230 Walnut Hill Ln Ste 814, Dallas, TX 75231-4485 | 2011-05-04 |
| 1962714931 | Zachary Farris | Plastic Surgery | 8345 Walnut Hill Lane, Suite 120, Dallas, TX 75231 | 2010-07-07 |
| 1053548149 | Neil A Mauskar | Plastic Surgery | 3409 Worth St Ste 600, Dallas, TX 75246-2042 | 2009-06-16 |
| 1679713085 | I. Richard Toranto | Plastic Surgery | 7 Ryddington Pl, Dallas, TX 75230-1972 | 2009-02-24 |
| 1114195104 | David E Martin Md, Pa | Plastic Surgery | 7777 Forest Ln Ste C625, Dallas, TX 75230-7520 | 2008-02-13 |
| 1194912469 | Jeffrey D Cone Jr. | Plastic Surgery | 4210 Normandy Ave, Dallas, TX 75205-2040 | 2007-10-01 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on DALLAS PLASTIC SURGERY INSTITUTE MANAGEMENT, PA.
| 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.