Peninsula Plastic Surgery Center in Williamsburg - Specialist
Peninsula Plastic Surgery Center - NPI 1689731986
Peninsula Plastic Surgery Center is a Specialist in Williamsburg, Virginia. Peninsula Plastic Surgery Center practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peninsula Plastic Surgery Center is 1689731986. The last update date is 2020-12-11.
Peninsula Plastic Surgery Center's current location address is 324 Monticello Ave, Williamsburg, Virginia. You can contact this provider via phone number 7572295200 and fax number 7572292692. The mailing address for Peninsula Plastic Surgery Center is 324 Monticello Ave, Williamsburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peninsula Plastic Surgery Center |
|---|---|
| Address | 324 Monticello Ave, Williamsburg, Virginia |
| Phone Number | 7572295200 |
| Fax Number | 7572292692 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Pitman M. John |
| Credentials | M.D. |
| Telephone Number | 7572295200 |
NPI Number Detail
| NPI Number | 1689731986 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2020-12-11 |
Provider Mailing Address Detail
| Address | 324 Monticello Ave |
|---|---|
| City | Williamsburg |
| State | Virginia (VA) |
| Post Code | 231852834 |
| Phone Number | 7572295200 |
| Fax Number | 7572292692 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101052484 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 140457 | VA | ANTHEM | |
| 213427 | VA | CIGNA | |
| 121242 | VA | SOUTHERN HEALTH | |
| 620043172 | VA | RAILROAD MEDICARE | |
| 432612 | VA | UNITED HEALTHCARE | |
| 5209080 | VA | AETNA | |
| 7601328 | VA | -- | |
| 54536 | VA | SENTARA OPTIMA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peninsula Plastic Surgery Center by the Centers for Medicare & Medicaid Services?
The Peninsula Plastic Surgery Center has been issued the NPI (National Provider Identifier) 1689731986, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the Peninsula Plastic Surgery Center's area of specialization and corresponding taxonomy classification?
The Peninsula Plastic Surgery Center's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
What is Peninsula Plastic Surgery Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peninsula Plastic Surgery Center is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Peninsula Plastic Surgery Center receive its 1689731986 assignment from the Centers for Medicare & Medicaid Services?
The Peninsula Plastic Surgery Center was assigned its 1689731986 by the Centers for Medicare & Medicaid Services on 2007-01-03.
As of what date were the details related to Peninsula Plastic Surgery Center most recently updated or revised?
The information pertaining to Peninsula Plastic Surgery Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-11.