Plastic Reconstructive & Cosmetic Surgery PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC

Practice address

204 Worcester St
Wellesley, MA 02481-5420

Phone

(781) 489-6218

Fax

(781) 489-6751

NPI assigned

Oct 10, 2006

Last updated

Jan 22, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth A Marshall, M.D., F,.A.C.S.

Title

President

Phone

(781) 489-6228

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert C Savage, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Wellesley, MA
  • NPI 1255343562

  Surgery of the Hand

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1023105947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815420",
            "telephone_number": "781-489-6218",
            "fax_number": "781-489-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815420",
            "telephone_number": "781-489-6218",
            "fax_number": "781-489-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-489-6228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F,.A.C.S."
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "600215",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "M12935",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pillgrams
• Elizabeth Pines-Learner, PSY.D.
• Lynn Elizabeth Pittsinger, RN, MSN, CPNP, PMHS
• Jason John Pladziewicz
• Courtney Plaster
• Plastic Surgery Specialists
• James G Plessman, D.D.S.
• Christopher Poirier, PT, DPT
• Anthony Poli, PT
• David Polman

• Plastic and Reconstructive Surgery Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Plastic and Reconstructive Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.