SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY (NPI# 1609958776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609958776 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY |
| Practice Address |
2965 Colonnade Drive Suite 140 Roanoke VA 24018-3541 |
| Practice Telephone | 5409896361 |
| Practice Fax Number | 5409896361 |
| Mailing Telephone | 5409896361 |
| Mailing Fax Number | 5409898697 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | DR. MICHAEL J BREINER (PRESIDENT) |
| Authorized Official Telephone | 5409896361 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101050226 | VA | Other Service Providers |
| Y | 208200000X | Plastic Surgery | 0101050226 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MAMSI | 348227 | 01 | |
| SOUTHERN HEALTH | 76991 | 01 | |
| VA | 06901051 | 05 | |
| QUAL CHOICE | 089951000 | 01 | |
| ANTHEM | 323954 | 01 | |
| 4420846 | AETNA | 01 | |
| UNITED HEALTHCARE | 240000224 | 01 |
| Street Address |
2965 COLONNADE DRIVE SUITE 140 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| 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 |
|---|---|---|---|---|
| 1023278934 | Enrique Silberblatt | Plastic Surgery | 3505 Brambleton Ave, Roanoke, VA 24018-6521 | 2008-06-13 |
| 1174543714 | Michael Joseph Breiner | Plastic Surgery | 2965 Colonnade Dr, Suite 140, Roanoke, VA 24018-3557 | 2006-07-19 |
| 1174780811 | Kurtis Eugene Moyer | Plastic Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2008-05-20 |
| 1730292236 | James T. Thompson | Plastic Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734595 | Maia Plastic Surgery | Plastic Surgery | 8100 Boone Boulevard, Suite 730, Tysons Corner, VA 22182-2688 | 2020-06-10 |
| 1477026227 | Parva Plastic Reconstructive Surgery LLC | Plastic Surgery | 224d Cornwall St Nw Ste 300, Leesburg, VA 20176-2704 | 2019-01-04 |
| 1669975355 | Sarah Elizabeth Burchett | Plastic Surgery | 8730 Stony Point Pkwy Ste 120, Richmond, VA 23235-1959 | 2018-03-09 |
| 1861900110 | Jules A. Feledy, Jr., Md., Pllc | Plastic Surgery | 2071 Jefferson Davis Hwy, Stafford, VA 22554-7266 | 2018-01-19 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1376068577 | Congressional Plastic Surgery, Inc. | Plastic Surgery | 8501 Arlington Blvd Ste 310, Fairfax, VA 22031-4625 | 2017-08-08 |
| 1710377189 | James Latane Ware | Plastic Surgery | 4103 Summit Ln, Richmond, VA 23221-3710 | 2015-01-23 |
| 1235483348 | Joseph Mitchell Jabbour | Plastic Surgery | 22071 Sam Fred Rd, Middleburg, VA 20117-3201 | 2012-10-29 |
| 1386907400 | Lewis Plastic Surgery, PC | Plastic Surgery | 2331a Robious Station Circle, Midlothian, VA 23113-4730 | 2012-06-22 |
| 1922377696 | Glenn Harvey Shepard | Plastic Surgery | 36 Barclay Rd, Newport News, VA 23606-1465 | 2011-12-23 |
| Find all providers with the same taxonomy | ||||
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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.