PENINSULA PLASTIC SURGERY CENTER


Address: 324 Monticello Ave, Williamsburg, VA 23185-2834
Phone: 7572295200

PENINSULA PLASTIC SURGERY CENTER (NPI# 1689731986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689731986
Entity Type Organization
Organization Name PENINSULA PLASTIC SURGERY CENTER
Practice Address 324 Monticello Ave
Williamsburg
VA 23185-2834
Practice Telephone 7572295200
Practice Fax Number 7572292692
Mailing Telephone 7572295200
Mailing Fax Number 7572292692
Enumeration Date 2007-01-03
Last Update Date 2008-03-03
Authorized Official Name DR. JOHN M. PITMAN III (PHYSICIAN)
Authorized Official Telephone 7572295200
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 0101052484 VA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 140457 01
VA AETNA 5209080 01
VA SENTARA OPTIMA 54536 01
VA CIGNA 213427 01
VA SOUTHERN HEALTH 121242 01
VA UNITED HEALTHCARE 432612 01

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Peninsula Plastic Surgery Center Ltd. 324 Monticello Ave, Williamsburg, Virginia 23185

Office Location

Street Address 324 MONTICELLO AVE
City WILLIAMSBURG
State VA
Zip Code 23185-2834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275635229 John M Pitman IIi Specialist 324 Monticello Ave, Williamsburg, VA 23185-2834 2006-09-01
1093269060 Outer Banks Anesthesia & Perioperative Care Specialists Pllc Anesthesiology 324 Monticello Ave, Williamsburg, VA 23185-2834 2016-08-08
1568601821 Paul Emil Pellini Nurse Anesthetist, Certified Registered 324 Monticello Ave, Williamsburg, VA 23185-2834 2009-02-10
1942357124 Peninsula Plastic Surgery Center-asc Clinic/Center 324 Monticello Ave, Williamsburg, VA 23185-2834 2007-01-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215579412 Marian Shearin Technician 112 Indian Circle, Williamsburg, VA 23185 2019-10-09
1093363251 1st Choice In-homecare, Inc. Durable Medical Equipment & Medical Supplies 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 2019-08-30
1265939482 Michelle Antionette Hill Counselor 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 2018-04-13
1114437480 Kimberly Anne Allan Orthotic Fitter 1811 Jamestown Rd., Williamsburg, VA 23185 2017-10-02
1881115590 Shawn Patrick Mcnulty Counselor Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 2017-07-03
1790215986 Sea Change Therapy Pllc Community/Behavioral Health 3308 Ash Vw, Williamsburg, VA 23185 2017-06-19
1316479322 Maureen Bounds Pharmacist 230 Gooch Dr, Williamsburg, VA 23185 2017-03-29
1386196970 Joshua Desilva Psychologist 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 2016-10-29
1750837001 Ellen Lerose Pharmacist 5601-b Richmond Road, Williamsburg, VA 23185 2016-08-28
1194173922 Michael C. Shuck, Dds PC Dentist 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 2016-06-02
Find all providers in zip 23185

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588034862 Samshines LLC Specialist 5501 Brixton Rd, Williamsburg, VA 23185-3868 2015-09-30
1669842233 Jeffrey Weidig Specialist 1913 Miln House Rd, Williamsburg, VA 23185-7699 2015-09-25
1043561160 Dreams Day Spa Specialist 115 Bulifants Blvd, Suite E, Williamsburg, VA 23188-5720 2012-09-28
1619202900 Brenda Rae Spanjer Specialist 89 Rice St, Williamsburg, KY 40769-2077 2009-10-05
1487886537 Medsource, LLC Specialist 3909 Midlands Road, Suite: B, Williamsburg, VA 23188 2009-08-21
1376770412 Advanced Cardiovascular Institute, Plc Anh N. Campbell Solembr Specialist 5215 Monticello Avenue, Suite A, Williamsburg, VA 23188 2009-06-16
1306026869 Jose A. Erfe, M.d. Specialist 481 Mclaws Cir Ste 1, Williamsburg, VA 23185-5645 2007-11-13
1275635229 John M Pitman IIi Specialist 324 Monticello Ave, Williamsburg, VA 23185-2834 2006-09-01
1982612792 Keith W Schumann Specialist 5309 Discovery Park Blvd., Williamsburg, VA 23188 2006-08-04
1376560441 Pitman Surgical Associates Specialist 326 Monticello Ave, Williamsburg, VA 23185-2834 2006-07-16
Find all providers in WILLIAMSBURG

Competitor

Search similar providers

City WILLIAMSBURG
Zip Code 23185

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Dataset Information

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.

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