PLASTIC SURGERY ASSOCIATES OF SOUTHERN INDIANA PC (NPI# 1225129570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225129570 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY ASSOCIATES OF SOUTHERN INDIANA PC |
| Practice Address |
1455 W 2nd Street Bloomington IN 47403 |
| Mailing Address |
Po Box 1148 Bloomington IN 47402-1148 |
| Practice Telephone | 8123366060 |
| Practice Fax Number | 8123337760 |
| Mailing Telephone | 8123366060 |
| Mailing Fax Number | 8123337760 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM EDWARD WEBER JR. (PRESIDENT & CHAIR OF GOVERNING BODY) |
| Authorized Official Telephone | 8123366060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 50003776A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
1455 W 2ND STREET |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306880216 | William Edward Weber Jr. | Plastic Surgery | 1455 W 2nd Street, Bloomington, IN 47403 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| 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 |
|---|---|---|---|---|
| 1528152170 | Themistocles Peter Economou | Plastic Surgery | 7760 France Ave S Ste 1000, Bloomington, MN 55435-5870 | 2006-10-03 |
| 1518992528 | Alan Flint Wise | Plastic Surgery | 1455 W Bloomfield Rd, Bloomington, IN 47403-2010 | 2006-07-11 |
| 1306880216 | William Edward Weber Jr. | Plastic Surgery | 1455 W 2nd Street, Bloomington, IN 47403 | 2006-06-15 |
| 1306847900 | Otis George Allen | Plastic Surgery | 1215 Holiday Dr, Bloomington, IL 61704-2214 | 2005-08-03 |
| 1699107797 | Paige C. Holt | Plastic Surgery | 2502 E Empire St, Ste C, Bloomington, IL 61704-3738 | 2013-07-31 |
| 1295173128 | Paige C Holt, Md, Ltd | Plastic Surgery | 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 | 2013-06-13 |
| 1215276530 | Center for Cosmetic and Laser Surgery, LLC | Plastic Surgery | 1505 Eastland Dr, Ste 350, Bloomington, IL 61701-3534 | 2013-02-06 |
| 1457629842 | Otis Allen Md Sc | Plastic Surgery | 1215 Holiday Dr, Bloomington, IL 61704-2214 | 2011-12-13 |
| 1487943593 | Premier Medical Group, LLC | Plastic Surgery | 1505 Eastland Dr, Suite 350, Bloomington, IL 61701-3534 | 2011-03-30 |
| 1477718351 | Valerie Lemaine | Plastic Surgery | 7760 France Ave S Ste 1000, Bloomington, MN 55435-5870 | 2008-07-21 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on PLASTIC SURGERY ASSOCIATES OF SOUTHERN INDIANA PC.
| 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.