PERSONS PLASTIC SURGERY, INC. (NPI# 1114230364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114230364 |
| Entity Type | Organization |
| Organization Name | PERSONS PLASTIC SURGERY, INC. |
| Practice Address |
911 Moraga Rd. #205 Lafayette CA 94549-4500 |
| Practice Telephone | 9252834012 |
| Practice Fax Number | 9252834847 |
| Mailing Telephone | 9252834012 |
| Mailing Fax Number | 9252834847 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | BARBARA LYNN PERSONS (PRESIDENT) |
| Authorized Official Telephone | 9252834012 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | A64843 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
911 MORAGA RD. #205 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629318951 | Elizabeth Anne Sivesind | Physician Assistant | 911 Moraga Rd., 201, Lafayette, CA 94549 | 2013-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| 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 |
|---|---|---|---|---|
| 1972864676 | Sarosh Naz Zafar | Plastic Surgery | 4811 Ambassador Caffery Pkwy Ste 401b, Lafayette, LA 70508 | 2012-05-30 |
| 1043352776 | Debora Ma | Plastic Surgery | 2668 Northpark Dr Ste 110, Lafayette, CO 80026-3365 | 2007-02-12 |
| 1437794096 | Jesse Kevin Duplechain Ll Md A Professional Medical Corporation | Plastic Surgery | 1103 Kaliste Saloom Rd Ste 300, Lafayette, LA 70508-5784 | 2019-11-07 |
| 1861876229 | Southwest Louisiana Breast Surgeons LLC | Plastic Surgery | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2015-07-16 |
| 1962819557 | Reconstructive Breast Surgeons of Acadiana | Plastic Surgery | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2014-07-16 |
| 1295074540 | Louis G Mes Md A Professional Medical Corporation | Plastic Surgery | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2013-02-06 |
| 1619234176 | The Burn Surgeons of Acadiana, LLC | Plastic Surgery | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2012-04-20 |
| 1023282860 | Unity Healthcare, LLC | Plastic Surgery | 1345 Unity Pl, Suite 210, Lafayette, IN 47905-5762 | 2008-04-14 |
| 1902945447 | Joseph R Kolb IIi | Plastic Surgery | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-02-05 |
| 1407920952 | Jeffrey S Williams | Plastic Surgery | 1101 S College Rd, Suite 400, Lafayette, LA 70503-3038 | 2006-11-17 |
| Find all providers in LAFAYETTE | ||||
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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.