PLASTIC SURGERY SPECIALISTS (NPI# 1245325307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245325307 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY SPECIALISTS |
| Practice Address |
2000 Stonegate Trl Suite 100 Birmingham AL 35242-2246 |
| Practice Telephone | 2052988660 |
| Practice Fax Number | 2052988664 |
| Mailing Telephone | 2052988660 |
| Mailing Fax Number | 2052988664 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | MRS. LYRIC B CROOK (OFFICE MANAGER) |
| Authorized Official Telephone | 2052988660 |
| Authorized Official Credential | CMOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | SR. OLIVER JR'S NPI# | 1891880928 | 01 |
| AL | DR. OLIVER SR'S NPI# | 1043305139 | 01 |
| AL | DR. JACK'S NPI# | 1518910892 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821473760 | Plastic Surgery Specialists | Clinic/Center | 260 Mclaws Cir, Williamsburg, VA 23185-5650 | 2015-07-21 |
| 1528280203 | Plastic Surgery Specialists | Surgery | 332 Washington St., Wellesley, MA 02481 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PLASTIC SURGERY SPECIALISTS P.C. | 260 Mclaws Cir, Williamsburg, Virginia 23185-5650 |
| Colorado Business Entities | PLASTIC SURGERY SPECIALISTS, P.C. | 2525 North 8th St., Grand Junction, CO 81501 |
| Street Address |
2000 STONEGATE TRL SUITE 100 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518910892 | Jason M Jack | Plastic Surgery | 2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 | 2006-05-18 |
| 1538286042 | Keith Martin Harrigill | Dermatology | 2000 Stonegate Trl, Suite 112, Birmingham, AL 35242-2246 | 2007-03-22 |
| 1144389586 | Elena M Llivina | Dermatology | 2000 Stonegate Trl, Suite 112, Birmingham, AL 35242-2246 | 2006-12-08 |
| 1891880928 | Robert I Oliver Jr. | Specialist | 2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 | 2006-10-04 |
| 1043305139 | Robert I Oliver Sr. | Specialist | 2000 Stonegate Trl, Suite 100, Birmingham, AL 35242-2246 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1609342088 | Vituro Health of Georgia, LLC | Specialist | 2901 2nd Ave S Ste 130, Birmingham, AL 35233-2928 | 2018-10-23 |
| 1356889547 | David Perry | Specialist | 3208 Colony Park Dr, Birmingham, AL 35243-2396 | 2017-02-07 |
| 1316481294 | Elite Imaging, LLC | Specialist | 200 Cahaba Park Circle, Suite 215, Birmingham, AL 35242 | 2016-12-12 |
| 1174076640 | Tracy Denise Gulley | Specialist | 1005 Garrett Dr, Birmingham, AL 35235-1422 | 2016-08-01 |
| 1497122931 | Ihab Nader Tawfik Atallah | Specialist | Bdb 563, 1720 2nd Avenue South, Birmingham, AL 35294-0012 | 2015-09-01 |
| 1568852572 | Brittney Bass-gray | Specialist | 1251 Beacon Pkwy E, Unit 202, Birmingham, AL 35209-1069 | 2015-01-28 |
| 1700280773 | Implantable Supplies | Specialist | 605 Queens Gate, Birmingham, AL 35242-7221 | 2014-10-20 |
| 1083031975 | Timothy Connolly | Specialist | 1720 2nd Avneue S, Bdb 563, Birmingham, AL 35294-0012 | 2014-03-28 |
| 1710226329 | Charles Peter Diliberti | Specialist | 235 Inverness Center Dr, Apt#001, Birmingham, AL 35242-4805 | 2013-02-04 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on PLASTIC SURGERY SPECIALISTS.
| 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.