PEDIATRIC PLASTIC SURGERY


Address: 7777 Forest Ln, Suite C717, Dallas, TX 75230-2505
Phone: 9725666555

PEDIATRIC PLASTIC SURGERY (NPI# 1154470557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154470557
Entity Type Organization
Organization Name PEDIATRIC PLASTIC SURGERY
Other Organization Name INTERNATIONAL CRANIOFACIAL INSTITUTE
Practice Address 7777 Forest Ln
Suite C717
Dallas
TX 75230-2505
Mailing Address 6757 Arapaho Rd
Suite 725
Dallas
TX 75248-4005
Practice Telephone 9725666555
Practice Fax Number 9725666017
Mailing Telephone 9725666555
Mailing Fax Number 9725666017
Enumeration Date 2007-01-09
Last Update Date 2020-08-22
Authorized Official Name JULI MANN (OFFICE MANAGER)
Authorized Official Telephone 9725666555
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
NOT APPLICABLE TX Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
International Craniofacial Institute Doing Business As Name - Organization

Office Location

Street Address 7777 FOREST LN
SUITE C717
City DALLAS
State TX
Zip Code 75230-2505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376546101 Frederick J Duffy Jr. Plastic Surgery 7777 Forest Ln, Ste C504, Dallas, TX 75230 2005-05-24
1710586870 Dessy Santika Adont Nurse Practitioner 7777 Forest Ln, Dallas, TX 75230-2571 2020-10-20
1003433913 Kasey Rehme Speech-Language Pathologist 7777 Forest Ln, Dallas, TX 75230-2571 2020-06-26
1083230015 Abigail Anne Plec Physician Assistant 7777 Forest Ln, Dallas, TX 75230-2571 2020-06-25
1225650500 Minh Nguyen Pharmacist 7777 Forest Ln, Dallas, TX 75230-2571 2020-05-10
1578184297 Hk Anesthesia Services Pllc Anesthesiology 7777 Forest Ln, Dallas, TX 75230-2571 2020-05-05
1225657018 Kristina Marie George Nurse Practitioner 7777 Forest Ln, Dallas, TX 75230-2571 2020-04-11
1376176024 Carla Patricia Jimenez Santillan Nurse Practitioner 7777 Forest Ln, Dallas, TX 75230-2571 2020-02-20
1508496795 Kafayat Oritola Nurse Practitioner 7777 Forest Ln, Dallas, TX 75230-2571 2020-01-16
1699315630 Rachel Kimberly Harris Occupational Therapist 7777 Forest Ln, Dallas, TX 75230-2571 2020-01-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912552415 Kyoto Medical Services, Pllc Orthopaedic Surgery 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 2019-08-02
1528538170 Angel Laamber Adams Nurse Practitioner 7777 Forest Lane Suite C 833, Dallas, TX 75230 2018-11-27
1538634399 Tochukwu Chioma Uche-ukah Nurse Practitioner Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 2018-10-09
1790260958 Ability Aba, Pllc Behavioral Analyst 5930 Royal Lane Ste E, #301, Dallas, TX 75230 2018-10-03
1750887956 Brandi Nicole Freeman Behavioral Analyst 5639 Mcshann Rd, Dallas, TX 75230 2018-04-05
1326547720 Whitney A Stewart Psychologist 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 2018-02-12
1407384373 Walgreen Co Durable Medical Equipment & Medical Supplies 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 2017-05-23
1215488648 The Walker Wellness Clinic Community/Behavioral Health 12200 Preston Rd., Dallas, TX 75230 2016-10-20
1578912325 Renat Kudyakov Nurse Practitioner 7777 Forest Ln Ste B-446, Dallas, TX 75230 2016-06-11
1407210982 Rohan Venugopal Menon Pediatrics 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 2016-04-11
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Taxonomy Information

Taxonomy Code 2082S0099X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery
Specialization Plastic Surgery Within the Head and Neck

Taxonomy Definition

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, 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. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821577859 Taylor Siemens Plastic Surgery 17311 Dallas Pkwy Ste 100, Dallas, TX 75248-1149 2018-08-10
1649520917 Samer Abou Zeid Plastic Surgery 3700 Cole Avenue, Apt#405, Dallas, TX 75204-4543 2012-09-14
1871608869 G. Hunt Neurohr, M.d., P.a. Plastic Surgery 6120 Sherry Ln, Dallas, TX 75225-6301 2006-08-20
1801813563 Abraham Armani Plastic Surgery 2928 Oak Lawn Ave, Dallas, TX 75219 2006-07-17
1093379810 Earwell Centers of Excellence, Pllc Plastic Surgery 9101 N Central Expy Ste 595, Dallas, TX 75231-6080 2019-04-26
1871017913 Dallas Plastic Surgery Institute Management, Pa Plastic Surgery 9101 N Central Expy Ste 600, Dallas, TX 75231-5956 2017-07-31
1265963854 Earwell Centers of Texas Plastic Surgery 9101 N Central Expy, Ste 600, Dallas, TX 75231-5927 2017-03-24
1568666493 Evan W. Beale Plastic Surgery 7777 Forest Ln, Suite B116, Dallas, TX 75230-2571 2007-06-13
1992708721 Texas Center for Breast Reconstruction Plastic Surgery 7777 Forest Ln, Ste C504, Dallas, TX 75230 2005-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659825602 Craniofacial Team of Texas Partners Plastic Surgery 11412 Bee Cave Road Ste 300, Austin, TX 78738 2016-08-08
1629445820 Kenneth C.y. Yu, Md, Pa Plastic Surgery 19288 Stone Oak Pkwy Ste A, San Antonio, TX 78258-3222 2015-08-24
1922323443 Eric Scott Rosenberger Plastic Surgery 10815 Rr 2222 Bldg 3c, Ste. 101, Austin, TX 78730-1159 2010-03-29
1891921318 Steven L Crawshaw Plastic Surgery 5333 Westheimer Rd, Suite 560, Houston, TX 77056-5411 2009-06-10
1982827366 Bernardino Antonio Arocha Plastic Surgery 3005 Huldy St, Houston, TX 77098-2709 2007-04-11
1134175276 Azul S Jaffer Plastic Surgery 6914 Brisbane Court, Suite 300, Sugar Land, TX 77479 2006-05-26
1154319598 Sean Boutros Plastic Surgery 9230 Katy Fwy Ste 600, Houston, TX 77055-7468 2005-10-10
1265899884 Donald A. Hollsten, M.d. Plastic Surgery 7950 Floyd Curl Dr, Suite 702, San Antonio, TX 78229-3919 2016-01-27
1487082590 Oral and Facial Cosmetic Surgery Pa Plastic Surgery 2450 Fondren Rd Ste 130, Houston, TX 77063-2398 2013-10-29
1295027183 Boutros Surgical Associates Pa Plastic Surgery 6400 Fannin St Ste 2290, Houston, TX 77030-1543 2011-05-10
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Competitor

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City DALLAS
Zip Code 75230

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Dataset Information

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.

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