PREFERRED PLASTIC SURGERY & SKIN CARE CENTER LLC (NPI# 1639422108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639422108 |
| Entity Type | Organization |
| Organization Name | PREFERRED PLASTIC SURGERY & SKIN CARE CENTER LLC |
| Practice Address |
5250 Far Hills Ave Suite 110 Dayton OH 45429-2382 |
| Practice Telephone | 9374329810 |
| Practice Fax Number | 9374329815 |
| Mailing Telephone | 9374329810 |
| Mailing Fax Number | 9374329815 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2013-03-08 |
| Authorized Official Name | DR. KEITH ALLEN PERRINE (OWNER) |
| Authorized Official Telephone | 9375547573 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
5250 FAR HILLS AVE SUITE 110 |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925112 | Marshall Claude Wareham | Ophthalmology | 5250 Far Hills Ave, Suite 207, Dayton, OH 45429-2382 | 2005-07-13 |
| 1376085258 | Shawon Lynn Gullette | Specialist | 5250 Far Hills Ave, Dayton, OH 45429-2382 | 2016-11-09 |
| 1699967513 | Fleagle Internal Medicine LLC | Internal Medicine | 5250 Far Hills Ave, Suite 210, Dayton, OH 45429 | 2007-08-14 |
| 1326173964 | Allied Eye Physicians & Surgeons Inc | Optometrist | 5250 Far Hills Ave, Suite 207, Dayton, OH 45429-2382 | 2007-02-23 |
| 1285735076 | Ramzieh Azmeh | Pediatrics | 5250 Far Hills Ave, Suite 260, Dayton, OH 45429-2382 | 2006-09-26 |
| 1720198112 | Keith Perrine | Plastic Surgery | 5250 Far Hills Ave, 110, Dayton, OH 45429-2382 | 2006-08-30 |
| 1386642205 | Thomas R Connon | Optometrist | 5250 Far Hills Ave, Suite 207, Dayton, OH 45429-2382 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588628820 | Christopher Andrew Reeder | Surgery | 6728 Loop Rd, Bldg 5, Suite 301, Dayton, OH 45459-2196 | 2006-04-13 |
| 1497194351 | Michelle Ruth Sieffert | Surgery | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-06-24 |
| 1306087515 | Wright State Physicians Inc | Surgery | 30 E Apple St, Suite 6257, Dayton, OH 45409-2939 | 2009-03-18 |
| 1386855435 | Soma Sundaram Avva | Surgery | 2200 Philadelphia Dr, 651, Dayton, OH 45406-1840 | 2007-05-24 |
| 1093837569 | Miami Valley Plastic Surgeons, Inc. | Surgery | 1520 S Main St, Suite 200, Dayton, OH 45409-2698 | 2007-04-04 |
| 1821156092 | Kenneth Daniel Christman | Surgery | 2717 Miamisburg Centerville Rd, Suite 212, Dayton, OH 45459 | 2006-12-04 |
| 1679645881 | Kenneth A Welty Jr | Surgery | 1520 S Main St, Suite 200, Dayton, OH 45409-2698 | 2006-11-14 |
| 1467524686 | Frank V Troha | Surgery | 1520 S Main St, Suite 200, Dayton, OH 45409-2698 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192304 | Roberta S Mckinley | Surgery | 5955 Carrbridge Ct, Galloway, OH 43119-1105 | 2020-07-29 |
| 1841707346 | Ptek Solutions | Surgery | 355 E Campus View Blvd Ste 290, Columbus, OH 43235-5680 | 2018-01-05 |
| 1336660034 | Andrew O'brien | Surgery | 915 Olentangy River Rd Fl 2, Columbus, OH 43212-3153 | 2017-07-03 |
| 1114248044 | Advanced Aesthetics and Rejuvination Inc | Surgery | 30701 Lorain Rd Ste A, North Olmsted, OH 44070-6325 | 2010-06-15 |
| 1700118114 | Vidas Dumasius | Surgery | 400 Matthew St Ste B-1, Marietta, OH 45750-1644 | 2010-02-10 |
| 1033382411 | Derek Cody | Surgery | 3925 Embassy Parkway, Suite 300, Akron, OH 44333 | 2008-04-08 |
| 1043381189 | Steven A Goldman Md Inc | Surgery | 3609 Park East Dr Ste 206, Beachwood, OH 44122-4309 | 2006-11-12 |
| 1922198357 | Michael P Binder | Surgery | 8587 East Ave, Mentor, OH 44060-4301 | 2006-10-14 |
| 1154416857 | Jason E Leedy | Surgery | 2060 Lander Rd, Mayfield Heights, OH 44124-4100 | 2006-10-04 |
| 1841225356 | Steven Scott Carp | Surgery | 4031 Massillon Road, Ste A, Uniontown, OH 44685 | 2006-07-12 |
| 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.