SANTAMARINA AESTHETIC AND PLASTIC SURGERY LLC (NPI# 1780069765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780069765 |
| Entity Type | Organization |
| Organization Name | SANTAMARINA AESTHETIC AND PLASTIC SURGERY LLC |
| Practice Address |
55 Pittsfield Rd Building 12c Lenox MA 01240-2123 |
| Practice Telephone | 4133441750 |
| Practice Fax Number | 4137288794 |
| Mailing Telephone | 4133441750 |
| Mailing Fax Number | 4137288794 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | RODRIGO SANTAMARINA (OWNER) |
| Authorized Official Telephone | 4133441750 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
219998 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110075931A | 05 |
| Street Address |
55 PITTSFIELD RD BUILDING 12C |
| City | LENOX |
| State | MA |
| Zip Code | 01240-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649256900 | Richard M Berlin | Psychiatry & Neurology | 55 Pittsfield Rd, Suite 6a, Lenox, MA 01240-2123 | 2005-12-19 |
| 1831676709 | Calla Rae Delsignore | Nurse Practitioner | 55 Pittsfield Rd, Lenox, MA 01240-2123 | 2018-07-24 |
| 1720510951 | Eileen Bote | Dietitian, Registered | 55 Pittsfield Rd, Suite 9, Lenox, MA 01240-2123 | 2017-03-28 |
| 1871032904 | Berkshire Hand To Shoulder Center LLC | Occupational Therapist | 55 Pittsfield Rd, Suite 12b, Lenox, MA 01240-2123 | 2017-02-22 |
| 1104202118 | Biji Manoj Vengalil | Nurse Practitioner | 55 Pittsfield Rd, Lenox, MA 01240 | 2015-08-03 |
| 1235547563 | Kim Charlotta Bladh-silverstein | Nurse Practitioner | 55 Pittsfield Rd, Lenox, MA 01240 | 2014-07-30 |
| 1417397803 | Terra Lampiasi | Internal Medicine | 55 Pittsfield Rd, Lenox, MA 01240 | 2013-06-28 |
| 1558585638 | Th E Sports Medicine Store LLC | Durable Medical Equipment & Medical Supplies | 55 Pittsfield Rd, Bldg #8b, Lenox, MA 01240-2122 | 2007-04-12 |
| 1427188093 | Brian Scott Dundas | Psychiatry & Neurology | 55 Pittsfield Rd, Suite 6b, Lenox, MA 01240-2123 | 2007-03-06 |
| 1518043652 | Elizabeth W Boham | Family Medicine | 55 Pittsfield Rd, Suite 9, Lenox, MA 01240-2123 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431943 | Dr. Glass Lenox Psychiatry, LLC | Clinic/Center | 69 Church Street, Suite 6, Lenox, MA 01240 | 2016-12-08 |
| 1558713065 | Nada Esa | Internal Medicine | 26 Old Stockbridge Rd, P.o 43, Lenox, MA 01240 | 2016-07-08 |
| 1962701367 | Ens Health Care of The Berkshires LLC | In Home Supportive Care | 31a Church Street, Lenox, MA 01240 | 2011-03-24 |
| 1164603718 | Kelly A Clady-giramma | Acupuncturist | Acupuncture Dept., Canyon Ranch, 165 Kemble St., Lenox, MA 01240 | 2007-11-23 |
| 1871707687 | Janet Amadon Richardson | Licensed Practical Nurse | 449 Pittsfield Rd, Premier Home Health, Lenox, MA 01240 | 2007-05-10 |
| 1528111762 | John Allen Miner | Psychiatry & Neurology | 25 Housatonic St, Lenox, MA 01240 | 2007-01-19 |
| 1972692150 | Georgia Bettina Martin | Family Medicine | 55 Pittsfield Rd Ste 12d, Lenox, MA 01240 | 2006-10-12 |
| 1558474338 | Jean R Brown | Social Worker | 25 Housatonic Street, Lenox, MA 01240 | 2006-08-16 |
| 1760902068 | Saarika M Nair | Internal Medicine | 725 North Street, Pittsfield, MA 01240 | 2017-06-27 |
| 1992234397 | Michelle Dasilva | Occupational Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240 | 2017-06-08 |
| Find all providers in zip 01240 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1528448693 | Dr. Susan Rodgin | Clinic/Center | 39 W Plain St, Wayland, MA 01778-4409 | 2015-06-04 |
| 1205215373 | Mass Medical Group, LLC | Clinic/Center | 200 Central St, Suite #2, Lowell, MA 01852-2201 | 2015-05-22 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1053740241 | Aesthetic Plastic Surgery of North Shore PC | Clinic/Center | 900 Cummings Ctr Ste 301u, Beverly, MA 01915-6181 | 2013-11-07 |
| 1518217694 | Sarah M Barnett Md Pllc | Clinic/Center | 119 Drum Hill Rd # 128, Chelmsford, MA 01824-1505 | 2012-09-14 |
| 1255687166 | James V Kowalski M.d. P.C. | Clinic/Center | 795 W Main St, Hyannis, MA 02601-3424 | 2012-07-29 |
| 1548564073 | Mind Body Healthlink | Clinic/Center | 26 Castle Rd, Northborough, MA 01532-1249 | 2010-12-23 |
| 1316184005 | Simon Faynzilbergmd PC | Clinic/Center | 157 Winthrop Rd Unit 2, Brookline, MA 02445-4642 | 2009-01-16 |
| 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.