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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
Street Address |
4300 W MAIN ST SUITE 102 |
City | DOTHAN |
State | AL |
Zip Code | 36305-1054 |
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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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 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 |
---|---|---|---|---|
1154721983 | Southern Institute of Plastic Surgery, Inc. | Plastic Surgery | 2800 Ross Clark Cir, Suite 2, Dothan, AL 36301-2040 | 2014-08-28 |
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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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.