MR. OSCAR JAVIER MANRIQUE MOGOLLON (NPI# 1538336938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538336938 |
| Entity Type | Individual |
| Full Name | MR. OSCAR JAVIER MANRIQUE MOGOLLON |
| Credential | M.D. |
| Practice Address |
5347 Scenic Oak Dr Sw Rochester MN 55902-2567 |
| Practice Telephone | 6174598095 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 61312 | MN | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 109206 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
5347 SCENIC OAK DR SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| 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 |
|---|---|---|---|---|
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
| 1972731156 | Ashley Amalfi | Plastic Surgery | 973 East Ave Ste 100, Rochester, NY 14607-2216 | 2009-06-26 |
| 1295909141 | Donald J Capuano | Plastic Surgery | 2640 Ridgeway Ave, Rochester, NY 14626-4209 | 2008-04-22 |
| 1215947908 | Marie A Frankel | Plastic Surgery | 285 Idlewood Rd, Rochester, NY 14618-3955 | 2006-08-08 |
| 1043259443 | William James Koenig | Plastic Surgery | 973 East Ave, Rochester, NY 14607-2216 | 2006-06-04 |
| 1326092107 | Stephen Evangelisti | Plastic Surgery | 1901 Lac De Ville Blvd, Rochester, NY 14618-5627 | 2006-05-19 |
| 1063464717 | Plastic Cosmetic and Restorative Surgery Pllc | Plastic Surgery | 2640 Ridgeway Avenue, Rochester, NY 14626 | 2006-05-17 |
| 1104899830 | Steven R Jacobson | Plastic Surgery | 2518 Superior Dr Nw Ste 104, Rochester, MN 55901-1997 | 2006-02-13 |
| 1194721282 | David H Refermat | Plastic Surgery | 360 Linden Oaks Dr., Ste 310, Rochester, NY 14625-2814 | 2005-06-22 |
| 1770100133 | Austin D Chen | Plastic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-07-01 |
| Find all providers in ROCHESTER | ||||
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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.