HYTHO H PANTAZELOS (NPI# 1962408765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962408765 |
| Entity Type | Individual |
| Full Name | HYTHO H PANTAZELOS |
| Credential | MD |
| Practice Address |
131 Ornac Ste 510 Concord MA 01742-4162 |
| Practice Telephone | 9783698777 |
| Mailing Telephone | 9783698777 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 29312 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2010321 | 05 |
| Street Address |
131 ORNAC STE 510 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871965483 | Nathan Narasimhan Md | Surgery | 131 Ornac, John Cuming Building Ste 700, Concord, MA 01742-4181 | 2015-10-22 |
| 1841594694 | Compassionate Care Associates | Clinic/Center | 131 Ornac, Suite 610, Concord, MA 01742-4181 | 2011-01-07 |
| 1487982278 | Wolfberg PC | Radiologic Technologist | 131 Ornac, Suite 710, Concord, MA 01742-4181 | 2009-12-07 |
| 1124291141 | Brooke R Seckel Md LLC | Plastic Surgery | 131 Ornac, Suite 700 John Cuming Building, Concord, MA 01742-4181 | 2008-04-10 |
| 1164695847 | Nathan Paul Narasimhan | Surgery | 131 Ornac, John Cuming Building Ste 700, Concord, MA 01742-4181 | 2008-04-02 |
| 1386812857 | Marjorie Trotter Marto | Physician Assistant | 131 Ornac, John Cuming Buliding - Suite 200, Concord, MA 01742-4181 | 2008-02-18 |
| 1720265770 | Plastic Surgicenter Inc | Plastic Surgery | 131 Ornac, John Cuming Building Suite 510, Concord, MA 01742 | 2008-01-22 |
| 1770774242 | Russell B. Butler, Md, PC | Psychiatry & Neurology | 131 Ornac, Jcb 730, Concord, MA 01742-4181 | 2007-08-08 |
| 1679773667 | Robert C. Cantu Md Neurological Surgery, Inc. | Specialist | 131 Ornac, John Cuming Building Suite 820, Concord, MA 01742-4181 | 2007-07-19 |
| 1073738654 | Concord Plastic Surgery Inc | Surgery | 131 Ornac, John Cuming Bulding Suite 700, Concord, MA 01742-4177 | 2007-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| 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 |
|---|---|---|---|---|
| 1336345362 | Emese Kalnoki-kis | Plastic Surgery | 246 Pleasant St Ste 210, Concord, NH 03301-2548 | 2007-06-26 |
| 1093105710 | Christian Kirman, Md, Inc. | Plastic Surgery | 2485 High School Ave, Suite 222, Concord, CA 94520-1819 | 2015-02-03 |
| 1083041404 | The Charlotte-mecklenburg Hospital Authority | Plastic Surgery | 200 Medical Park Dr, Ste 520, Concord, NC 28025-2982 | 2013-09-30 |
| 1124291141 | Brooke R Seckel Md LLC | Plastic Surgery | 131 Ornac, Suite 700 John Cuming Building, Concord, MA 01742-4181 | 2008-04-10 |
| 1336327428 | David Fremd Klein | Plastic Surgery | 398 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2008-01-31 |
| 1003090267 | Christian Nathan Kirman | Plastic Surgery | 2485 High School Ave, Suite 222, Concord, CA 94520-1819 | 2007-12-24 |
| 1194857615 | Amarjit Singh Dosanjh | Plastic Surgery | 2485 High School Ave, Suite 222, Concord, CA 94520-1819 | 2007-03-10 |
| 1861579088 | Renaissance Plastic Surgery Pa | Plastic Surgery | 398 Copperfield Blvd Ne, Concord, NC 28025 | 2006-11-01 |
| 1164460465 | Adam Ravin | Plastic Surgery | 200 Medical Park Dr, Ste 520, Concord, NC 28025-2982 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083285 | Hpss-wpho, Inc | Plastic Surgery | 92 Montvale Ave Ste 3300, Stoneham, MA 02180-3652 | 2020-05-05 |
| 1134762693 | Clareo Aesthetics | Plastic Surgery | 25 Boylston St Ste 304, Chestnut Hill, MA 02467-1710 | 2019-10-28 |
| 1407375454 | Michael Kutka Md Inc | Plastic Surgery | 62 Brown St Ste 206, Haverhill, MA 01830-6790 | 2017-09-11 |
| 1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
| 1700299245 | Greater Boston Plastic Surgery & Luxe Aesthetics | Plastic Surgery | 10 Roseberry Dr, Boylston, MA 01505-2024 | 2014-06-03 |
| 1831510528 | Aesthetic Plastic Surgery of North Shore PC | Plastic Surgery | 29 Hickory Hill Rd, Manchester, MA 01944-1575 | 2013-12-23 |
| 1881036903 | Richard V. Montilla M.d, P.C. | Plastic Surgery | 123 Summer St Ste 675, Worcester, MA 01608-1216 | 2013-07-18 |
| 1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
| 1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
| 1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
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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.