PENINSULA PLASTIC SURGERY CENTER-ASC (NPI# 1942357124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942357124 |
| Entity Type | Organization |
| Organization Name | PENINSULA PLASTIC SURGERY CENTER-ASC |
| Practice Address |
324 Monticello Ave Williamsburg VA 23185-2834 |
| Practice Telephone | 7572295200 |
| Practice Fax Number | 7572292692 |
| Mailing Telephone | 7572295200 |
| Mailing Fax Number | 7572292692 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. JOHN M. PITMAN III (PHYSICIAN) |
| Authorized Official Telephone | 7572295200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0101052484 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | UNITED HEALTHCARE | 432612 | 01 |
| VA | AETNA | 5209080 | 01 |
| VA | SENTARA OPTIMA | 54536 | 01 |
| VA | CIGNA | 213427 | 01 |
| VA | ANTHEM | 289669 | 01 |
| VA | SOUTHERN HEALTH | 121242 | 01 |
| VA | ANTHEM | 289668 | 01 |
| Street Address |
324 MONTICELLO AVE |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275635229 | John M Pitman IIi | Specialist | 324 Monticello Ave, Williamsburg, VA 23185-2834 | 2006-09-01 |
| 1093269060 | Outer Banks Anesthesia & Perioperative Care Specialists Pllc | Anesthesiology | 324 Monticello Ave, Williamsburg, VA 23185-2834 | 2016-08-08 |
| 1568601821 | Paul Emil Pellini | Nurse Anesthetist, Certified Registered | 324 Monticello Ave, Williamsburg, VA 23185-2834 | 2009-02-10 |
| 1689731986 | Peninsula Plastic Surgery Center | Specialist | 324 Monticello Ave, Williamsburg, VA 23185-2834 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543481 | Surgical Suites of Coastal Virginia, LLC | Clinic/Center | 400 Sentara Cir Ste 200, Williamsburg, VA 23188-5716 | 2019-02-07 |
| 1821473760 | Plastic Surgery Specialists | Clinic/Center | 260 Mclaws Cir, Williamsburg, VA 23185-5650 | 2015-07-21 |
| 1770990376 | Advanced Vision Surgery Center LLC | Clinic/Center | 5215 Monticello Ave, Williamsburg, VA 23188-8213 | 2014-07-15 |
| 1578581468 | Peninsula Surgery Center II LLC | Clinic/Center | 120 Kings Way, Suite 1500, Williamsburg, VA 23185-2505 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1093344210 | Virginia Womens Center for Aesthetics | Clinic/Center | 19490 Sandridge Way Ste 360, Leesburg, VA 20176-3467 | 2020-04-08 |
| 1306486634 | Fredericksburg Endoscopy Center, LLC | Clinic/Center | 1211 Central Park Blvd, Fredericksburg, VA 22401-4912 | 2020-01-15 |
| 1063058303 | Chesapeake Regional Surgery Center At Virginia Beach, LLC | Clinic/Center | 229 Clearfield Ave Ste 200, Virginia Beach, VA 23462-1815 | 2019-11-21 |
| 1154986347 | Center for Visual Surgical Excellence, LLC | Clinic/Center | 208 Carmichael Way, Chesapeake, VA 23322 | 2019-05-03 |
| 1962980045 | New Womens Health Charlottesville | Clinic/Center | 2050 Abbey Rd Ste D, Charlottesville, VA 22911-3553 | 2018-08-01 |
| 1518450790 | Virginia Ent Surgery Center Inc | Clinic/Center | 6600 W Broad St Ste 210, Richmond, VA 23230-1709 | 2018-06-12 |
| 1336649714 | Healthqare Services Asc LLC | Clinic/Center | 1005 N Glebe Rd Ste 200, Arlington, VA 22201-5792 | 2018-02-13 |
| 1104349489 | Valley Health Surgery Center, LLC | Clinic/Center | 174 Botanical Boulevard, Winchester, VA 22603 | 2017-07-19 |
| 1285169011 | Us Taxi Service LLC | Clinic/Center | 10824 Tutelo Ct, Glen Allen, VA 23059-8033 | 2017-04-30 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
Please comment or provide details below to improve the information on PENINSULA PLASTIC SURGERY CENTER-ASC.
| 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.