DR. PHILLIP HIROTO NAKANO (NPI# 1962502252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962502252 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP HIROTO NAKANO |
| Credential | M.D. |
| Practice Address |
3096 Peachtree Industrial Blvd Duluth GA 30097-7918 |
| Practice Telephone | 7704951477 |
| Practice Fax Number | 7704951488 |
| Mailing Telephone | 7704951477 |
| Mailing Fax Number | 7704951488 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 024310 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00486351A | 05 | |
| GA | FIRST HEALTH | 686583 | 01 |
| GA | BCBS | 52026987 | 01 |
| Street Address |
3096 PEACHTREE INDUSTRIAL BLVD |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-7918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740528934 | Prima Ambulatory Surgical Services | Clinic/Center | 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 | 2013-01-22 |
| 1114065935 | Prima Center for Plastic Surgery PC | Specialist | 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 | 2007-02-02 |
| 1063502375 | Hanjoon Mike Song | Plastic Surgery | 3096 Peachtree Industrial Blvd, Duluth, GA 30097 | 2006-10-15 |
| 1568562841 | Jeffrey David Zwiren | Plastic Surgery | 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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 |
|---|---|---|---|---|
| 1851690697 | Jason Dean Fowler | Plastic Surgery | 1420 London Rd Ste 101, Duluth, MN 55805-2437 | 2011-03-18 |
| 1598923021 | Lisa Carolyn Moody | Plastic Surgery | 3540 Duluth Park Ln Ste 290, Duluth, GA 30096-8511 | 2008-05-31 |
| 1043260557 | Edgar F. Saldana | Plastic Surgery | 324 W Superior St Ste 100, Duluth, MN 55802-1763 | 2006-05-12 |
| 1982668497 | Andrew Jimerson II | Plastic Surgery | 6620 Mcginnis Ferry Rd, Duluth, GA 30097-1542 | 2006-04-12 |
| 1558988477 | Plastic Surgery Center of Duluth Pllc | Plastic Surgery | 324 W Superior St Ste 100, Duluth, MN 55802-1763 | 2020-06-26 |
| 1235379256 | Wade Daniel Kubat | Plastic Surgery | 1012 E 2nd St, Duluth, MN 55805-2200 | 2009-03-03 |
| 1427237767 | Advanced Plastic Surgery Solutions, LLC | Plastic Surgery | 6630 Mcginnis Ferry Rd, Suite B, Duluth, GA 30097-1542 | 2007-11-02 |
| 1063502375 | Hanjoon Mike Song | Plastic Surgery | 3096 Peachtree Industrial Blvd, Duluth, GA 30097 | 2006-10-15 |
| 1871688317 | James Clinton Cronan Jr. | Plastic Surgery | 3400 Mcclure Bridge Rd, Building B201, Duluth, GA 30096-6675 | 2006-10-03 |
| 1568562841 | Jeffrey David Zwiren | Plastic Surgery | 3096 Peachtree Industrial Blvd, Duluth, GA 30097-7918 | 2006-09-25 |
| Find all providers in DULUTH | ||||
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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.