Blakely A Plaster (NPI# 1194055327, PAC ID# 1153516174) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194055327 |
| PAC ID by PECOS | 1153516174 |
| Professional Enrollment ID | I20101116000277 |
| Full Name | Blakely A Plaster |
| Organization Legal Name | LONGWOOD PLASTIC SURGERY PC |
| Address |
235 Cypress St Suite 210 Brookline MA 02445-6776 |
| Phone Number | 6173836250 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779538079 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220086 | BETH ISRAEL DEACONESS MEDICAL CENTER |
| 220036 | ST ELIZABETH'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 235 Cypress St, Suite 210, Brookline, MA 02445-6776 | 6173836250 | LONGWOOD PLASTIC SURGERY PC |
| Organization Legal Name | LONGWOOD PLASTIC SURGERY PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri D Silver | Plastic and Reconstructive Surgery | Longwood Plastic Surgery PC | 235 Cypress St, Suite 210, Brookline, MA 02445-6776 |
| Caily Chandler Irwin | Physician Assistant | Longwood Plastic Surgery PC | 300 Mount Auburn St, Suite 313, Cambridge, MA 02138-5665 |
| Street Address |
235 CYPRESS ST SUITE 210 |
| City | BROOKLINE |
| State | MA |
| Zip | 02445-6776 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke Ferdinands | Physical Therapy | Dufer LLC | 235 Cypress St, Suite 110, Brookline, MA 02445-6777 |
| Gabriella S Greif | Physical Therapy | Dufer LLC | 235 Cypress St, Suite 110, Brookline, MA 02445-6777 |
| Terri D Silver | Plastic and Reconstructive Surgery | Longwood Plastic Surgery PC | 235 Cypress St, Suite 210, Brookline, MA 02445-6776 |
| Victoria L Griffin | Nurse Practitioner | Brookline Dermatology Associates, PC | 235 Cypress St, Suite 200, Brookline, MA 02445-6777 |
| Christian A Reyes | Physical Therapy | Dufer LLC | 235 Cypress St, Suite 110, Brookline, MA 02445-6777 |
| Scott Caplan | Physical Therapy | Dufer LLC | 235 Cypress St, Suite 110, Brookline, MA 02445-6777 |
| Aliza A Stern | Physician Assistant | Brookline Dermatology Associates, PC | 235 Cypress St, Suite 200, Brookline, MA 02445-6777 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah K Manegold | Psychiatry | 1842 Beacon St, Suite 402, Brookline, MA 02445-1900 | |
| Brittany Lowey | Physical Therapy | Paggi Physical Therapy and Sports Rehabilitation, Inc | 1842 Beacon St, Suite 207, Brookline, MA 02445-1922 |
| Adam Paggi | Physical Therapy | Paggi Physical Therapy and Sports Rehabilitation, Inc | 1842 Beacon St, Suite 207, Brookline, MA 02445-1922 |
| Jonathan Elcock | Physical Therapy | Paggi Physical Therapy and Sports Rehabilitation, Inc | 1842 Beacon St, Suite 207, Brookline, MA 02445-1922 |
| Wayne M London | Chiropractic | 1842 Beacon St, Suite 205, Brookline, MA 02445-1922 | |
| Ashley Traniello | Physical Therapy | Paggi Physical Therapy and Sports Rehabilitation, Inc | 1842 Beacon St, Suite 207, Brookline, MA 02445-1922 |
| Howard Liu | Internal Medicine | 1842 Beacon St, Suite 302, Brookline, MA 02445-1922 | |
| Jennifer Meyer | Psychiatry | 1842 Beacon St, Suite 402, Brookline, MA 02445-1922 | |
| Samuel Nun | Obstetrics/gynecology | 1842 Beacon St, Suite 301, Brookline, MA 02445-1922 | |
| Farahnaz Maniei | Psychologist, Clinical | 1842 Beacon St, Suite 404, Brookline, MA 02445-1930 | |
| Find all physicians in zip 02445 | |||
| City | BROOKLINE |
| Zip Code | 02445 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BROOKLINE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Blakely A Plaster.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.