PLASTIC SURGERY OF GWINNETT PC (NPI# 1386995470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386995470 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY OF GWINNETT PC |
| Practice Address |
500 Medical Center Blvd Suite 150 Lawrenceville GA 30046-8708 |
| Practice Telephone | 7706823375 |
| Practice Fax Number | 7706823387 |
| Mailing Telephone | 7706823375 |
| Mailing Fax Number | 7706823387 |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |
| Authorized Official Name | DR. ALVIN I ROSENTHAL (PRESIDENT) |
| Authorized Official Telephone | 7706823375 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 039926 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | 40BBBBD | 01 |
| Street Address |
500 MEDICAL CENTER BLVD SUITE 150 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802515 | Princewill U Ehirim | Neurological Surgery | 500 Medical Center Blvd, Suite 200, Lawrenceville, GA 30045-8708 | 2005-06-28 |
| 1619594520 | Jennifer Hall Mckenzie | Nurse Practitioner | 500 Medical Center Blvd, Lawrenceville, GA 30046-8708 | 2020-06-26 |
| 1295273571 | Amy Davidson | Nurse Practitioner | 500 Medical Center Blvd, Suite 365, Lawrenceville, GA 30046-8708 | 2017-02-07 |
| 1609244532 | Gwinnett Emergency Specialists, P.C. | General Acute Care Hospital | 500 Medical Center Blvd, Lawrenceville, GA 30046-8708 | 2015-09-09 |
| 1770950578 | Elizabeth Nicole Gray | Nurse Practitioner | 500 Medical Center Blvd, Suite 210, Lawrenceville, GA 30046-8708 | 2015-08-27 |
| 1609258870 | Josephine Brinkley | Nurse Practitioner | 500 Medical Center Blvd, Suite 310, Lawrenceville, GA 30046-8708 | 2015-06-24 |
| 1235523937 | Ehi Pharmacy Solutions, LLC. | Non-Pharmacy Dispensing Site | 500 Medical Center Blvd, Ste. 100, Lawrenceville, GA 30046-8708 | 2015-03-20 |
| 1053677856 | Jacqueline Bays Runyan | Counselor | 500 Medical Center Blvd, Suite 290, Lawrenceville, GA 30046-8708 | 2012-04-05 |
| 1912281429 | Pediatric Cardiology Services | Pediatrics | 500 Medical Center Blvd, 340, Lawrenceville, GA 30046-8708 | 2011-10-03 |
| 1174813737 | Pediatric Cardiology Services, LLC | Pediatrics | 500 Medical Center Blvd, Suite 390, Lawrenceville, GA 30046-8708 | 2011-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| 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 |
|---|---|---|---|---|
| 1184048209 | Daniel Long | Specialist | 233 Moorland Way, Lawrenceville, GA 30043 | 2014-02-10 |
| 1396188876 | East Metro Primary Care | Specialist | 325 Lester Rd Nw, Suite C, Lawrenceville, GA 30044-4024 | 2013-04-15 |
| 1861710998 | Georgia Quality Kidney Care, LLC | Specialist | 170 Camden Hill Road, Suite F, Lawrenceville, GA 30046 | 2010-05-13 |
| 1508005141 | Bobby Walker | Specialist | 450 Sweet Ivy Ln, Lawrenceville, GA 30043-3068 | 2009-02-05 |
| 1023265873 | Accurate Medical Diagnostics, LLC | Specialist | 1498 Dulwich Ct, Lawrenceville, GA 30043-7535 | 2008-08-23 |
| 1265604896 | Gwinnett Sportherapy | Specialist | 965 Oakland Rd Ste 2c, Lawrenceville, GA 30044-3758 | 2008-03-24 |
| 1437270923 | Crelvis, Inc. | Specialist | 271-a S Culver St, Lawrenceville, GA 30045-4805 | 2007-04-02 |
| 1982747465 | Dana Lynn Prater | Specialist | 386 Windsor Farms Dr, Lawrenceville, GA 30045-6068 | 2007-02-15 |
| 1083770655 | John Martin Tilley | Specialist | 801 Bolling Cv, Lawrenceville, GA 30045-2430 | 2006-12-28 |
| 1265509376 | Jennie Nichole Stokes | Specialist | 1688 Lawrenceville Hwy, Lawrenceville, GA 30044-4608 | 2006-11-30 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on PLASTIC SURGERY OF GWINNETT 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.