MARTIN PLASTIC AND RECONSTRUCTIVE SURGERY, PC


Address: 4300 W Main St, Suite 102, Dothan, AL 36305-1054
Phone: 3347939564

MARTIN PLASTIC AND RECONSTRUCTIVE SURGERY, PC (NPI# 1861870131) 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) 1861870131
Entity Type Organization
Organization Name MARTIN PLASTIC AND RECONSTRUCTIVE SURGERY, PC
Practice Address 4300 W Main St
Suite 102
Dothan
AL 36305-1054
Practice Telephone 3347939564
Practice Fax Number 3346718907
Mailing Telephone 3347939564
Mailing Fax Number 3346718907
Enumeration Date 2015-05-07
Last Update Date 2015-05-07
Authorized Official Name MRS. MELISSA W REEVES (ADMINISTRATOR)
Authorized Official Telephone 3347939564
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery Allopathic & Osteopathic Physicians

Office Location

Street Address 4300 W MAIN ST
SUITE 102
City DOTHAN
State AL
Zip Code 36305-1054

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396740577 Steven M. Fendley Surgery 4300 W Main St, Ste 24, Dothan, AL 36305-1054 2005-06-15
1649635434 Leigh Phillips Registered Nurse 4300 W Main St, Suite 21, Dothan, AL 36305-1054 2015-12-21
1336514389 Tri-state Urology, P.C. Urology 4300 W Main St, Suite 102, Dothan, AL 36305-1054 2015-12-02
1811387053 Eric M Warg Registered Nurse 4300 W Main St, 24, Dothan, AL 36305-1054 2015-01-26
1720426133 Krystal Sims Fowler Nurse Practitioner 4300 W Main St, Suite 31, Dothan, AL 36305-1090 2013-06-07
1932497393 Dothan Surgical Services, LLC Surgery 4300 W Main St, Dothan, AL 36305-1054 2011-07-19
1558657890 Wiregrass Clinic LLC Anesthesiology 4300 W Main St, Suite 21, Dothan, AL 36305-1054 2011-06-24
1992096440 Wiregrass Neurology, PC Psychiatry & Neurology 4300 W Main St, Suite 102, Dothan, AL 36305-1092 2011-05-02
1134426588 Norma Faye Mcknight Nurse Practitioner 4300 W Main St, Suite 102, Dothan, AL 36305-1054 2011-02-22
1639305964 Brooke E Sellers Nurse Practitioner 4300 W Main St, Suite 102, Dothan, AL 36305-1054 2009-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962059998 Samantha Nicole Bolden Counselor 1001 John D. Odom Road, Dothan, AL 36305 2019-08-23
1578968780 Aba Therapy & Consulting Services Behavioral Analyst 3124 West Main Street, Suite 9, Dothan, AL 36305 2014-10-30
1306247796 Tracey Lynn Carter Registered Nurse 4300 W Main St Ste 102, Dothan, AL 36305 2014-09-04
1760829881 Michael Brent Nance Nurse Practitioner 4370 West Main Street, Dothan, AL 36305 2013-05-30
1033495221 Professional Resource Management of Wiregrass, LLC Psychiatry & Neurology 2812 Hartford Hwy Ste 1, Dothan, AL 36305 2011-11-01
1649555483 Ashley Dawn Morrow Pharmacist 2940 West Main Street, Dothan, AL 36305 2011-10-12
1740599273 Aline M Mays-easley Counselor 309 Ameris Ave, Dothan, AL 36305 2010-10-01
1356671408 Kimberly Jones Rogers Clinical Neuropsychologist 200 Grove Park Ln Ste 212, Dothan, AL 36305 2010-01-12
1639347818 Southeast Alabama Counseling & Behavioral Specialist Residential Treatment Facility, Emotionally Disturbed Children 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 2008-02-11
1770705667 Michala Long Pharmacist 3850 West Main St, Dothan, AL 36305 2007-05-02
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154721983 Southern Institute of Plastic Surgery, Inc. Plastic Surgery 2800 Ross Clark Cir, Suite 2, Dothan, AL 36301-2040 2014-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205312105 Maryam Saheb-al-zamani Plastic Surgery 510 20th St South, Birmingham, AL 35294-3411 2018-07-13
1942741566 James Stilwell Plastic Surgery 9006 Berclair Rd Sw, Huntsville, AL 35802-2902 2017-03-15
1114232535 Marshall Medical Center North Plastic Surgery 2150 Gunter Ave, Guntersville, AL 35976-2133 2010-08-10
1477745024 Melanie Petro Plastic Surgery 905 Montgomery Hwy, Suite 101, Vestavia, AL 35216-2866 2007-08-16
1861514986 Timothy Wells King Plastic Surgery 2850 Cahaba Rd Ste 100, Mountain Brk, AL 35223-2345 2007-04-06
1992835722 Ralph L Aquadro IIi Plastic Surgery 1935 E. Glenn Ave., Ste 102, Auburn, AL 36830 2007-03-07
1952445843 M Eugene Moor IIi Plastic Surgery 2850 Cahaba Rd, Ste 120, Birmingham, AL 35213 2007-02-16
1710088117 Grady Bruce Core Plastic Surgery 3595 Grandview Pkwy Ste 150, Birmingham, AL 35243-1935 2006-09-26
1376647792 Hubert Theron Montgomery Jr. Plastic Surgery 901 East South Boulevard, Montgomery, AL 36116 2006-09-08
1982716536 Stephen R Steinmetz Plastic Surgery 2700 10th Ave S Ste 510, Birmingham, AL 35205-1250 2006-08-31
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Competitor

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City DOTHAN
Zip Code 36305

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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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