DR. RICHARD T BOSSHARDT (NPI# 1942235783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942235783 |
| Entity Type | Individual |
| Full Name | DR. RICHARD T BOSSHARDT |
| Credential | M.D. |
| Practice Address |
1879 Nightingale Ln A-2 Tavares FL 32778-4363 |
| Practice Telephone | 3527420079 |
| Practice Fax Number | 3527420059 |
| Mailing Telephone | 3527420079 |
| Mailing Fax Number | 3527420059 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME49691 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD | 08371 | 01 |
| FL | 035625500 | 05 |
| Street Address |
1879 NIGHTINGALE LN A-2 |
| City | TAVARES |
| State | FL |
| Zip Code | 32778-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661664 | Borys A Mascarenhas | Surgery | 1879 Nightingale Ln, Ste B4, Tavares, FL 32778-4363 | 2005-07-05 |
| 1285961219 | Andrea Campbell | Nurse Practitioner | 1879 Nightingale Ln, Suite C-1, Tavares, FL 32778-4363 | 2009-11-12 |
| 1225168701 | Keller & Goodman Md, Pa | Internal Medicine | 1879 Nightingale Ln, Suite C-2, Tavares, FL 32778-4363 | 2007-03-06 |
| 1376612358 | Theresa Ann Mills | Emergency Medicine | 1879 Nightingale Ln, Suite C-1, Tavares, FL 32778-4363 | 2006-11-06 |
| 1790881654 | Plastic Surgery Center of Lake County, P.a. | Plastic Surgery | 1879 Nightingale Ln, Suite #a-2, Tavares, FL 32778-4363 | 2006-09-16 |
| 1144330119 | Adina Mariana Ion | Internal Medicine | 1879 Nightingale Ln, Suite C-1, Tavares, FL 32778-4363 | 2006-08-30 |
| 1336171388 | Peter A. Marzek | Plastic Surgery | 1879 Nightingale Ln, A-2, Tavares, FL 32778-4363 | 2006-07-07 |
| 1821027517 | Julio Henry Lesmes | Internal Medicine | 1879 Nightingale Ln, Ste C-1, Tavares, FL 32778 | 2006-07-03 |
| 1073543310 | Plastic Surgery Center of Lake County | Clinic/Center | 1879 Nightingale Ln, A-2, Tavares, FL 32778-4363 | 2006-07-03 |
| 1467491993 | Open Mri of Orlando Inc | Clinic/Center | 1879 Nightingale Ln, Suite A-1, Tavares, FL 32778-4363 | 2006-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
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| 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 |
|---|---|---|---|---|
| 1790881654 | Plastic Surgery Center of Lake County, P.a. | Plastic Surgery | 1879 Nightingale Ln, Suite #a-2, Tavares, FL 32778-4363 | 2006-09-16 |
| 1336171388 | Peter A. Marzek | Plastic Surgery | 1879 Nightingale Ln, A-2, Tavares, FL 32778-4363 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275166720 | Ph1 Miami | Plastic Surgery | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-02-12 |
| 1720619927 | Jhs Surgical Pavillion LLC | Plastic Surgery | 3319 S State Road 7 Ste 107, Wellington, FL 33449-8099 | 2020-01-28 |
| 1861048498 | Alexandra Conde Green Md Pa | Plastic Surgery | 4788 N Citation Dr Apt 105, Delray Beach, FL 33445-6532 | 2019-08-09 |
| 1962062885 | Zunilda Rodriguez Martinez | Plastic Surgery | 7360 Sw 24th St, Miami, FL 33155-1498 | 2019-06-13 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1508335985 | Plastic Surgery Associates of Miami | Plastic Surgery | 6541 Sw 76th Ter, South Miami, FL 33143-4656 | 2018-11-15 |
| 1023592177 | Lake Mary Plastic and Cosmetic Surgery Pa | Plastic Surgery | 934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165 | 2018-09-24 |
| 1790271096 | Rsm Plastic Surgery, Pa | Plastic Surgery | 3300 W Lake Mary Blvd Ste 210, Lake Mary, FL 32746-3499 | 2018-07-10 |
| 1609306877 | South Beach Plastic Surgery, P.a. | Plastic Surgery | 1820 James Ave Apt 6d, Miami Beach, FL 33139-7462 | 2017-06-19 |
| 1295278943 | Florida Dermatology Plastic Surgery LLC | Plastic Surgery | 6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039 | 2016-11-29 |
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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.