AUTHENTIC PLASTIC SURGERY, LLC (NPI# 1922358514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922358514 |
| Entity Type | Organization |
| Organization Name | AUTHENTIC PLASTIC SURGERY, LLC |
| Practice Address |
2000 Plymouth Road Suite 300 Minnetonka MN 55305-2335 |
| Mailing Address |
2000 Plymouth Road Suite 260 Minnetonka MN 55305-2335 |
| Practice Telephone | 6123606466 |
| Mailing Telephone | 6123606466 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-11-12 |
| Authorized Official Name | PAWEL STACHOWICZ (MD) |
| Authorized Official Telephone | 6123606466 |
| 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 |
2000 PLYMOUTH ROAD SUITE 300 |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891994182 | Sarah Brennan | Physical Therapist | 2000 Plymouth Road, Suite 200, Minnetonka, MN 55305 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| 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 |
|---|---|---|---|---|
| 1720574445 | Echelon Surgical Specialists LLC | Plastic Surgery | 15450 Highway 7 Ste 225, Minnetonka, MN 55345-3522 | 2018-07-05 |
| 1699862490 | Pawel P Stachowicz | Plastic Surgery | 2000 Plymouth Rd # 260, Minnetonka, MN 55305-2366 | 2006-10-05 |
| 1205939618 | Adam Lokeh | Plastic Surgery | 13911 Ridgedale Dr. #395, Minnetonka, MN 55305 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104252022 | Bashioum Cosmetic Surgery Center, Ltd. | Plastic Surgery | 445 Lake St E Ste 210, Wayzata, MN 55391-1671 | 2013-09-24 |
| 1184994501 | James Jerome Diehl | Plastic Surgery | 10530 W Riverview Dr, Eden Prairie, MN 55347-4921 | 2012-01-02 |
| 1851690697 | Jason Dean Fowler | Plastic Surgery | 1420 London Rd Ste 101, Duluth, MN 55805-2437 | 2011-03-18 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1013151430 | Jennifer Ann Cameron | Plastic Surgery | 310 Smith Ave N Ste 330, Saint Paul, MN 55102 | 2009-04-29 |
| 1538336938 | Oscar Javier Manrique Mogollon | Plastic Surgery | 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 | 2008-05-14 |
| 1558533919 | David O. Smith | Plastic Surgery | 6545 France Ave S Ste 505, Edina, MN 55435-2116 | 2008-03-26 |
| 1447442702 | Sue-mi C Tuttle | Plastic Surgery | 401 Phalen Blvd-ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-08-10 |
| 1033314943 | Tracy So Kayan | Plastic Surgery | 2805 Campus Dr Ste 485, Plymouth, MN 55441-2919 | 2007-06-19 |
| 1710022363 | Peter Andrew Vogt | Plastic Surgery | 319 Barry Ave S, #300, Wayzata, MN 55391-1658 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
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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.