CENTER FOR COSMETIC & PLASTIC SURGERY, INC. (NPI# 1972553097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972553097 |
| Entity Type | Organization |
| Organization Name | CENTER FOR COSMETIC & PLASTIC SURGERY, INC. |
| Practice Address |
1353 E Mcandrews Rd Medford OR 97504-6105 |
| Practice Telephone | 5417706776 |
| Mailing Telephone | 5417706776 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | ROBERT JENSEN (PRESIDENT) |
| Authorized Official Telephone | 5417706776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1353 E MCANDREWS RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437147048 | Robert Mark Jensen | Plastic Surgery | 1353 E Mcandrews Rd, Medford, OR 97504-6105 | 2005-10-07 |
| 1386771996 | Center for Cosmetic and Plastic Surgery Inc | Clinic/Center | 1353 E Mcandrews Rd, Medford, OR 97504-6105 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1437147048 | Robert Mark Jensen | Plastic Surgery | 1353 E Mcandrews Rd, Medford, OR 97504-6105 | 2005-10-07 |
| 1912057134 | Stephen F Lovich LLC | Plastic Surgery | 1170 Royal Ave, Medford, OR 97504-6101 | 2007-01-11 |
| 1780743526 | Plastic Surgery Specialists PC | Plastic Surgery | 2959 Siskiyou Blvd, Suite A, Medford, OR 97504-8131 | 2006-12-07 |
| 1649339821 | Earl H Parrish | Plastic Surgery | 701 Golf View Dr, Medford, OR 97504-9643 | 2006-12-06 |
| 1366532442 | Stephen Lovich | Plastic Surgery | 1170 Royal Ave, Medford, OR 97504-6101 | 2006-10-13 |
| 1205944782 | Brian Kreul | Plastic Surgery | 2959 Siskiyou Blvd, Suite A, Medford, OR 97504-8131 | 2006-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437573185 | Portland Plastic Surgery Group, LLC | Plastic Surgery | 1200 Nw Naito Pkwy Ste 310, Portland, OR 97209-2829 | 2014-02-14 |
| 1811255250 | Richard Sean Mcnally | Plastic Surgery | 5050 Ne Hoyt St Ste 422, Portland, OR 97213 | 2012-04-23 |
| 1073891172 | Amanda K Nelson | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702 | 2011-07-25 |
| 1811284433 | Ivan Nicolas Vial | Plastic Surgery | 2450 Ne Mary Rose Pl Ste 201, Bend, OR 97701-7133 | 2011-07-03 |
| 1942507819 | James A Kilgore Md, PC | Plastic Surgery | 19250 Sw 65th Ave Ste 365, Tualatin, OR 97062-7747 | 2011-02-11 |
| 1710140215 | Shiliang Chang | Plastic Surgery | 3303 Sw Bond Ave Ste 5, Portland, OR 97239-4501 | 2008-07-03 |
| 1770742207 | Christopher Stephen Zarella | Plastic Surgery | 501 N Graham St Ste 300, Portland, OR 97227-2008 | 2008-06-09 |
| 1841475803 | Northwest Cosmetic Surgery, LLC | Plastic Surgery | 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140 | 2008-01-08 |
| 1093937468 | Margo S Herron | Plastic Surgery | 638 N Main St Ste C, Ashland, OR 97520-1887 | 2007-05-03 |
| 1871623678 | Shane Christopher Kim | Plastic Surgery | 1130 Nw 22nd Ave Ste 420, Portland, OR 97210-2995 | 2007-03-07 |
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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.