NORTHSIDE PLASTIC SURGERY (NPI# 1740245950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740245950 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE PLASTIC SURGERY |
| Practice Address |
1265 Upper Hembree Rd Ste 100 Roswell GA 30076-1143 |
| Practice Telephone | 7707511433 |
| Practice Fax Number | 7707517410 |
| Mailing Telephone | 7707511433 |
| Mailing Fax Number | 7707517410 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ANITA REINER (BOOKKEEPING INSURANCE) |
| Authorized Official Telephone | 7707511433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1265 UPPER HEMBREE RD STE 100 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259577 | Kenneth Mark Ellner | Dermatology | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 | 2005-07-20 |
| 1366882383 | Alexandria Lauren Schuetz | Physician Assistant | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1257 | 2013-07-05 |
| 1518263342 | Norma Gordon | Physician Assistant | 1265 Upper Hembree Rd, Roswell, GA 30076-1257 | 2011-01-26 |
| 1609009174 | Tamu Tayari Brown | Dermatology | 1265 Upper Hembree Rd, Suite 101, Roswell, GA 30076-1257 | 2009-08-31 |
| 1396957973 | Gilbert Charles Goldman | Dermatology | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 | 2007-05-04 |
| 1417910431 | Atlanta Center for Dermatologic Diseases PC | Dermatology | 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076-1143 | 2006-04-10 |
| 1336118983 | Kevin S Berman | Dermatology | 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076-1143 | 2006-03-16 |
| 1770566523 | Stephen E Mikos | Internal Medicine | 1265 Upper Hembree Rd, Suite 200, Roswell, GA 30076-1143 | 2005-11-25 |
| 1225037161 | Michael Scott Fisher | Dermatology | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 | 2005-07-21 |
| 1457350316 | Maher Talaat Hassan | Plastic Surgery | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 | 2005-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
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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 |
|---|---|---|---|---|
| 1467442590 | Brian Keith Howard | Plastic Surgery | 1295 Hembree Rd, Bldg. B, Suite 200, Roswell, GA 30076-5721 | 2005-10-28 |
| 1538537923 | Northside Plastic Surgery of Atlanta, LLC | Plastic Surgery | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5722 | 2015-09-02 |
| 1790075117 | Dr. Brian K. Howard P.C. | Plastic Surgery | 1357 Hembree Rd, Suite 200, Roswell, GA 30076-5722 | 2011-04-19 |
| 1407817554 | Miles H. Graivier | Plastic Surgery | 1295 Hembree Rd, Suite 100b, Roswell, GA 30076-5721 | 2006-03-29 |
| 1457350316 | Maher Talaat Hassan | Plastic Surgery | 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1143 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639706328 | Nij, LLC | Plastic Surgery | 3280 Howell Mill Rd Nw Ste 200, Atlanta, GA 30327-4100 | 2020-03-24 |
| 1629623558 | Dipsy Parikh | Plastic Surgery | 3150 Roswell Rd Ne Ste B1, Atlanta, GA 30305-2572 | 2019-08-07 |
| 1194284299 | Pooler Plastic Surgery LLC | Plastic Surgery | 1000 Towne Center Blvd Ste 506, Pooler, GA 31322-4068 | 2019-03-18 |
| 1821564352 | Southern Surgical Group LLC | Plastic Surgery | 1266 W Paces Ferry Rd Nw Ste 231, Atlanta, GA 30327-2306 | 2018-10-23 |
| 1336655612 | Mary G George | Plastic Surgery | 130 Ridley Ln, Decatur, GA 30030-2909 | 2017-12-21 |
| 1265941413 | Sentinel Plastic Surgery LLC | Plastic Surgery | 123 Weaver Rd Ste B, Blairsville, GA 30512-3155 | 2017-09-20 |
| 1083133763 | Hurteau Plastic Surgery, P.C. | Plastic Surgery | 1000 Hawthorne Ave Ste N, Athens, GA 30606-2168 | 2017-09-14 |
| 1487179586 | Most Plastic & Reconstructive Surgery PC | Plastic Surgery | 114 Canal St Ste 102, Pooler, GA 31322-4153 | 2017-08-09 |
| 1942737911 | Brian Stenberg | Plastic Surgery | 1117 Perimeter Ctr Ste 502, Atlanta, GA 30338-5451 | 2017-05-21 |
| 1669927075 | Breast Body Beauty LLC | Plastic Surgery | 2550 Windy Hill Rd Se Ste 312, Marietta, GA 30067-8655 | 2016-08-16 |
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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.