PRESTIGE PLASTIC SURGERY, LLC (NPI# 1598820136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598820136 |
| Entity Type | Organization |
| Organization Name | PRESTIGE PLASTIC SURGERY, LLC |
| Practice Address |
8600 Snowden River Pkwy Suite 308 Columbia MD 21045-1982 |
| Practice Telephone | 4102901696 |
| Mailing Telephone | 4102901696 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | DR. GARY ANTHONY VELA (PRESIDENT) |
| Authorized Official Telephone | 4102901696 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | D0063900 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BLUE CROSS BLUE SHIELD | 30PZGA | 01 |
| Street Address |
8600 SNOWDEN RIVER PKWY SUITE 308 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-1982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
| 1316373095 | Howard County Center for Lung and Sleep Medicine Ll C | Internal Medicine | 8600 Snowden River Pkwy, Suite 202, Columbia, MD 21045-1982 | 2013-09-25 |
| 1871936294 | Columbia Medical Sport & Spine LLC | Durable Medical Equipment & Medical Supplies | 8600 Snowden River Pkwy, Suite 103, Columbia, MD 21045-1982 | 2013-04-16 |
| 1942548540 | Kids Super Smile | Dentist | 8600 Snowden River Pkwy, 302, Columbia, MD 21045-1982 | 2013-01-17 |
| 1710221874 | Dabbs Accelerated Back Care Program. LLC | Chiropractor | 8600 Snowden River Pkwy, Ste 101, Columbia, MD 21045-1982 | 2012-11-15 |
| 1033347877 | Pulmonary Disease and Critical Care Associates, Pa. | Internal Medicine | 8600 Snowden River Pkwy, 202, Columbia, MD 21045-1982 | 2009-07-01 |
| 1629212824 | Kathleen Gibson Davis | Audiologist | 8600 Snowden River Pkwy, #309, Columbia, MD 21045-1982 | 2009-05-01 |
| 1174719660 | Jamie Leigh Neary | Audiologist | 8600 Snowden River Pkwy, Ste 309, Columbia, MD 21045-1986 | 2007-09-19 |
| 1043332125 | Lawrence Katkow | Dentist | 8600 Snowden River Pkwy, #106, Columbia, MD 21045-1982 | 2007-04-06 |
| 1962536037 | Anne M. Delaney | Audiologist | 8600 Snowden River Pkwy, Suite 309, Columbia, MD 21045-1982 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| 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 |
|---|---|---|---|---|
| 1013574839 | Tarik Mujadzic | Plastic Surgery | Plastic Surgery, 2 Medical Park, Ste 300, Columbia, SC 29203 | 2019-05-28 |
| 1710166574 | Sarah A. Mess, Md, LLC | Plastic Surgery | 10700 Charter Dr Ste 330, Columbia, MD 21044-3695 | 2007-10-29 |
| 1629117700 | Gregory H Croll | Plastic Surgery | 1504 E Bdwy, Ste 214, Columbia, MO 65201 | 2007-02-06 |
| 1073667085 | Elliott Ho Chen | Plastic Surgery | 2 Medical Park Rd Ste 302, Columbia, SC 29203-6839 | 2007-01-23 |
| 1568476711 | Peter C Haines | Plastic Surgery | 300 Palmetto Health Pkwy Ste 100, Columbia, SC 29212-1761 | 2006-07-27 |
| 1336191931 | Richard J. Wassermann | Plastic Surgery | 1220 Blanding St, Columbia, SC 29201-2816 | 2006-05-16 |
| 1154394260 | Gregory Alan Sexton | Plastic Surgery | 1708 Laurel St, Columbia, SC 29201 | 2006-02-09 |
| 1972509925 | Donen Davis | Plastic Surgery | 1850 Laurel St, Ste B, Columbia, SC 29201-2627 | 2005-06-23 |
| 1144880337 | Branden Stephens | Plastic Surgery | 100 Matc, Columbia, MO 65203 | 2019-06-19 |
| 1689034548 | Providence Physician Practices LLC | Plastic Surgery | 1655 Bernardin Ave, Ste 110, Columbia, SC 29204-2039 | 2016-03-04 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on PRESTIGE PLASTIC SURGERY, LLC.
| 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.