SOUTHEASTERN PLASTIC SURGERY, P.A. (NPI# 1801989884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801989884 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN PLASTIC SURGERY, P.A. |
Other Organization Name | SOUTHEASTERN PLASTIC SURGERY |
Practice Address |
2030 Fleischmann Rd Tallahassee FL 32308 |
Practice Telephone | 8502192000 |
Practice Fax Number | 8508772138 |
Mailing Telephone | 8502192000 |
Mailing Fax Number | 8508772138 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2016-11-10 |
Authorized Official Name | MR. BEN J KIRBO (SURGEON/OWNER) |
Authorized Official Telephone | 8502192000 |
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 |
Other Name | Type Code |
---|---|
Southeastern Plastic Surgery | Doing Business As Name - Organization |
Street Address |
2030 FLEISCHMANN RD |
City | TALLAHASSEE |
State | FL |
Zip Code | 32308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467494526 | Laurence Zalmon Rosenberg | Plastic Surgery | 2030 Fleischmann Rd, Southeastern Plastic Surgery, Tallahassee, FL 32308-4599 | 2006-06-12 |
1790256667 | Shannon Elizabeth Moninger | Nurse Practitioner | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2018-12-17 |
1942792635 | Brittany Decastro | Nurse Practitioner | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2018-05-30 |
1043579949 | Nimble Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2012-05-11 |
1811102494 | Kristen Snyder Costa | Physician Assistant | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2007-05-14 |
1043425309 | Leo Christopher Derosier | Surgery | 2030 Fleischmann Rd, Tallahassee, FL 32308 | 2007-05-11 |
1033223367 | Southeastern Outpatient Surgery Center LLC | Clinic/Center | 2030 Fleischmann Rd, Tallahassee, FL 32308 | 2006-08-17 |
1720096761 | Ben J Kirbo | Plastic Surgery | 2030 Fleischmann Rd, Tallahassee, FL 32308 | 2006-08-04 |
1184650483 | Lisa L. Umana | Nurse Anesthetist, Certified Registered | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2006-06-25 |
1598700197 | Patti Dirkse Pijut | Nurse Anesthetist, Certified Registered | 2030 Fleischmann Rd, Tallahassee, FL 32308-4599 | 2006-06-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
Find all providers in zip 32308 |
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 |
---|---|---|---|---|
1568025419 | Reinventme, LLC | Surgery | 13696 N Us Highway 441 Ste 100, Lady Lake, FL 32159-6815 | 2019-04-17 |
1750854378 | David Gerth Md Pa | Surgery | 4308 Alton Rd Ste 940, Miami Beach, FL 33140-4560 | 2019-01-07 |
1588165773 | Deepak Naidu Md, Pa | Surgery | 201 E Kennedy Blvd Ste 410, Tampa, FL 33602-3641 | 2018-02-23 |
1194225599 | Joseph Charles Gallagher Jr. | Surgery | 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 | 2018-02-13 |
1043729569 | Renee Gasgarth, M.d. P.a. | Surgery | 7300 Sw 62nd Pl Ste 200, South Miami, FL 33143-4800 | 2017-09-27 |
1184150625 | Pamela Loftus | Surgery | 4454 Woodfield Blvd, Boca Raton, FL 33434-5310 | 2017-05-03 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
1629482096 | Jill Swindell | Surgery | 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 | 2014-06-13 |
1205274784 | Melanie L Aya-ay Md Plastic Surgery Pl | Surgery | 17523 N Dale Mabry Hwy, Lutz, FL 33548-4521 | 2013-06-06 |
1790123487 | Jason Crespo | Surgery | 1250 Pine Ridge Rd Ste 101c, Naples, FL 34108-8913 | 2013-06-05 |
Find all providers with the same taxonomy |
City | TALLAHASSEE |
Zip Code | 32308 |
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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.