GREATER BOSTON PLASTIC SURGERY & LUXE AESTHETICS (NPI# 1700299245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700299245 |
Entity Type | Organization |
Organization Name | GREATER BOSTON PLASTIC SURGERY & LUXE AESTHETICS |
Practice Address |
10 Roseberry Dr Boylston MA 01505-2024 |
Practice Telephone | 4133485192 |
Mailing Telephone | 4133485192 |
Enumeration Date | 2014-06-03 |
Last Update Date | 2014-06-24 |
Authorized Official Name | MOSTAFA NOURY (OWNER) |
Authorized Official Telephone | 4133485192 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | 257625 | MA | Allopathic & Osteopathic Physicians |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | GREATER BOSTON PLASTIC SURGERY & LUXE AESTHETICS P.C. | 25 West Main St., Northborough, MA 01532 |
Street Address |
10 ROSEBERRY DR |
City | BOYLSTON |
State | MA |
Zip Code | 01505-2024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194879007 | Town of Boylston | Emergency Medical Technician, Basic | 599 Main St, Boylston, MA 01505-0634 | 2007-01-22 |
1528471323 | Lynne Lavallee | Nurse Practitioner | 56 Oak Hill Ln, Boylston, MA 01505-1200 | 2014-06-09 |
1699173484 | Patricia Symmes | Student in an Organized Health Care Education/Training Program | 603 Linden St, Boylston, MA 01505-1214 | 2014-12-11 |
1134319270 | Kreszentia M Strobel | Pediatrics | 26 Bay Path Dr, Boylston, MA 01505-1427 | 2007-07-25 |
1811936909 | James B Hanshaw | Pediatrics | 18 Bay Path Dr, Boylston, MA 01505-1427 | 2006-06-05 |
1528174232 | Karen Kiver Patalano | Dietitian, Registered | 567 Central St, Boylston, MA 01505-1523 | 2006-08-23 |
1114347945 | Alexander Martin | Dietitian, Registered | 567 Central St, Boylston, MA 01505-1523 | 2014-04-19 |
1740490036 | Carol Linda Ahlstrand Smith | Social Worker | 475 Central St, Boylston, MA 01505-1524 | 2007-05-23 |
1306275771 | Jeanette Mesite Frem | Lactation Consultant, Non-RN | 25 Pendell Cir, Boylston, MA 01505-1541 | 2013-11-06 |
1780966150 | Martine Ferullo | Pharmacist | 14 Pleasant Ln, Boylston, MA 01505-1547 | 2011-09-12 |
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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 |
---|---|---|---|---|
1568083285 | Hpss-wpho, Inc | Plastic Surgery | 92 Montvale Ave Ste 3300, Stoneham, MA 02180-3652 | 2020-05-05 |
1134762693 | Clareo Aesthetics | Plastic Surgery | 25 Boylston St Ste 304, Chestnut Hill, MA 02467-1710 | 2019-10-28 |
1407375454 | Michael Kutka Md Inc | Plastic Surgery | 62 Brown St Ste 206, Haverhill, MA 01830-6790 | 2017-09-11 |
1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
1831510528 | Aesthetic Plastic Surgery of North Shore PC | Plastic Surgery | 29 Hickory Hill Rd, Manchester, MA 01944-1575 | 2013-12-23 |
1881036903 | Richard V. Montilla M.d, P.C. | Plastic Surgery | 123 Summer St Ste 675, Worcester, MA 01608-1216 | 2013-07-18 |
1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
1578728853 | Christian N. Ford | Plastic Surgery | 80 Washington Street, Building D, Suite 21, Norwell, MA 02061 | 2008-07-25 |
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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.