NORTHSHORE PLASTIC SURGERY, LLC (NPI# 1568690469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568690469 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE PLASTIC SURGERY, LLC |
| Practice Address |
4000 Lonesome Road Suite A Mandeville LA 70471 |
| Practice Telephone | 2255884644 |
| Mailing Telephone | 2255884644 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | DR. BENJAMIN J BOUDREAUX (MANAGER) |
| Authorized Official Telephone | 2255884644 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | MD.201940 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548268535 | Northshore Plastic Surgery, LLC | Surgery | 4 Centennial Dr, Ste 102, Peabody, MA 01960-7935 | 2005-07-13 |
| Street Address |
4000 LONESOME ROAD SUITE A |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| 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 |
|---|---|---|---|---|
| 1720256365 | Benjamin Joseph Boudreaux | Plastic Surgery | 3401 E Causeway Approach, Mandeville, LA 70448-3447 | 2008-02-18 |
| 1356400733 | Brian H Strand | Plastic Surgery | 200 Greenleaves Blvd, Suite 11, Mandeville, LA 70448-7018 | 2006-12-08 |
| 1891708897 | William Joseph Kelley | Plastic Surgery | 255 W Florida St, Suite 102, Mandeville, LA 70448-3020 | 2006-08-14 |
| 1043539950 | Jeffrey Reid Claiborne | Plastic Surgery | 3401 E Causeway Approach, Mandeville, LA 70448-3447 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316471634 | Jourdain D. Artz | Plastic Surgery | 1542 Tulane Ave Rm 748a, New Orleans, LA 70112-2865 | 2017-04-13 |
| 1154781318 | Surgical Reconstructive Services | Plastic Surgery | 2 Tokalon Pl, Metairie, LA 70001-3020 | 2016-03-02 |
| 1861892085 | Edward Matthew Campbell Iv | Plastic Surgery | 4825 Folse Dr, Metairie, LA 70006-1116 | 2014-08-25 |
| 1033550611 | Eugene Frederick Worthen | Plastic Surgery | 3504 Forsythe Ave, Monroe, LA 71201-2120 | 2013-07-11 |
| 1972864676 | Sarosh Naz Zafar | Plastic Surgery | 4811 Ambassador Caffery Pkwy Ste 401b, Lafayette, LA 70508 | 2012-05-30 |
| 1699074401 | Catherine Link Mcgee | Plastic Surgery | 1900 Perdido St, Apt C35, New Orleans, LA 70112-1306 | 2011-03-18 |
| 1881910693 | Juan R Escobar Md Ltd Apmc | Plastic Surgery | 1111 Medical Center Blvd Ste 510north, Marrero, LA 70072-3151 | 2010-04-19 |
| 1225272149 | Thomas Trey Sands | Plastic Surgery | 3100 Galleria Dr Ste 302, Metairie, LA 70001-2196 | 2009-04-22 |
| 1477718815 | Paul Dreschnack, Md, LLC | Plastic Surgery | 3600 Saint Charles Ave, Suite 101, New Orleans, LA 70115-7121 | 2008-07-24 |
| 1841459369 | Russell Gerard Hendrick Jr. | Plastic Surgery | 2633 Napoleon Ave Ste 920, New Orleans, LA 70115-7408 | 2008-06-09 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
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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.