Organization Active NPI

Center for Plastic and Hand Surgery PC

  • Plastic Surgery Physician
  • Providence, RI
National Provider Identifier
1013219492
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
RI 12444 Issued in RI
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

Updated by the provider on Nov 17, 2010

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SS73819MedicaidRI

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.