PAULA JEAN FORMOSA (NPI# 1073516308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073516308 |
| Entity Type | Individual |
| Full Name | PAULA JEAN FORMOSA |
| Credential | MD |
| Practice Address |
575 N Sioux Point Rd Dakota Dunes SD 57049-5312 |
| Practice Telephone | 6052172667 |
| Practice Fax Number | 6052172900 |
| Mailing Telephone | 6052172667 |
| Mailing Fax Number | 6052172900 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 5141 | SD | Allopathic & Osteopathic Physicians |
| Street Address |
575 N SIOUX POINT RD |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708853 | James Lawrence Case | Psychiatry & Neurology | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-05-24 |
| 1053911123 | Tyson David Allen | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-28 |
| 1265032544 | Allison Faye Biggerstaff | Registered Nurse | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-27 |
| 1114524378 | Rosa Maria Marquez | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-10-01 |
| 1174140552 | Nicole Kay Shea | Registered Nurse | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-07-01 |
| 1932734191 | Trisha Marie Anderson | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2020-03-09 |
| 1407494388 | Martin R Walsh | Physical Therapist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-12-11 |
| 1437713872 | Daniel Eric Nelson | Specialist/Technologist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-04-30 |
| 1023574316 | Nicholas Nielsen | Physical Therapist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2019-02-12 |
| 1992286223 | Trae Jordan Bergh | Physician Assistant | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| 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 |
|---|---|---|---|---|
| 1659441491 | Richard Frederick Carver | Plastic Surgery | 7236 Jordan Drive, Suite 100a, Rapid City, SD 57701-8734 | 2006-11-09 |
| 1972611481 | Bradley Kevin Coots | Plastic Surgery | 1500 W 22nd St Ste 101, Sioux Falls, SD 57105-1503 | 2006-08-25 |
| 1568442895 | Richard James Howard | Plastic Surgery | 6301 S Minnesota Ave, Suite 300, Sioux Falls, SD 57108-2528 | 2006-01-20 |
| 1063805604 | Cosmetic and Plastic Surgery Specialists, PC | Plastic Surgery | 201 S Lloyd St, W230, Aberdeen, SD 57401-4552 | 2015-03-06 |
| 1962667154 | Hoang M. Lawrence Nguyen | Plastic Surgery | 1500 W 22nd St Ste 101, Sioux Falls, SD 57105-1503 | 2008-07-28 |
| 1992989487 | Hunter Reid Moyer | Plastic Surgery | 2805 5th St, Rapid City, SD 57701-7306 | 2007-12-20 |
| 1780893370 | Mary C. Snyder, Md, PC | Plastic Surgery | 5410 Sheridan Lake Rd, Rapid City, SD 57702-9208 | 2007-05-21 |
| 1508999822 | Associates In Plastic & Reconstructive Surgery Inc | Plastic Surgery | 7236 Jordan Dr, Suite 100a, Rapid City, SD 57702-8734 | 2007-03-14 |
| 1457389199 | Plastic Surgery Associates of South Dakota, Ltd | Plastic Surgery | 4201 South Minnesota Avenue, Ste. 112, Sioux Falls, SD 57105-6706 | 2006-06-29 |
| 1124071048 | Rifat Hussain | Plastic Surgery | 1500 W 22nd St, Ste 104, Sioux Falls, SD 57105 | 2006-05-19 |
| Find all providers with the same taxonomy | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
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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.