Active NPI
Center for Plastic and Hand Surgery PC
- Plastic Surgery Physician
- Providence, RI
National Provider Identifier
1013219492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- RI 12444
- Legal business name
- CENTER FOR PLASTIC AND HAND SURGERY PC
- Practice address
- 235 Plain St
Suite 203
Providence, RI 02905-3240 - Phone
- (401) 632-4700
- Fax
- (401) 632-4704
- NPI assigned
- Nov 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda A Dicicco
- Title
- Office Manager
- Phone
- 40163204702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | RI 12444 | RI | Primary |
Addresses
Primary practice location
235 Plain St
Suite 203
Providence, RI 02905-3240
Mailing address
235 Plain St
Suite 203
Providence, RI 02905-3240
Phone (401) 632-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SS73819 | Medicaid | RI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289952000000",
"number": "1013219492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PLAIN ST",
"address_2": "SUITE 203",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053240",
"telephone_number": "401-632-4700",
"fax_number": "401-632-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PLAIN ST",
"address_2": "SUITE 203",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053240",
"telephone_number": "401-632-4700",
"fax_number": "401-632-4704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR PLASTIC AND HAND SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A",
"authorized_official_last_name": "DICICCO",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "40163204702",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "RI",
"license": "RI 12444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SS73819",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
- Michelle Celio, PHARMD
- Jennifer S Cellar, MSN, APRN, CNP
- Adam Cellurale
- Center for Dynamic and Behavioral Therapy LLC (PVD Psychological Associates)
- Center for Individualized Training and Education
- Center for Psychology and Learning
- Center for Southeast Asians
- Natalie Centola
- Tessa Jude Centracchio, NP
- Centro de Innovacion Mujer Latina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.