South Shore Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

78298 Issued in MA

Legal business name

SOUTH SHORE PLASTIC SURGERY

Doing business as

Boston Plastic Surgery

Practice address

2300 Crown Colony Dr
Suite 101
Quincy, MA 02169-0902

Phone

(617) 786-7600

Fax

(617) 786-7616

NPI assigned

Sep 27, 2005

Last updated

Mar 9, 2009By 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

Fouad J Samaha, M.D.NPI 1043212541

Title

President

Phone

(617) 786-7600

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Boston Plastic Surgery Doing business as

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.

• Fouad J Samaha, M.D.

  • Plastic Surgery Physician
  • Quincy, MA
  • NPI 1043212541
  NPD (past) Authorized official

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1093701708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CROWN COLONY DR",
            "address_2": "SUITE 101",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690902",
            "telephone_number": "617-786-7600",
            "fax_number": "617-786-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CROWN COLONY DR",
            "address_2": "SUITE 101",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690902",
            "telephone_number": "617-786-7600",
            "fax_number": "617-786-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "SAMAHA",
        "authorized_official_first_name": "FOUAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-786-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "78298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0009857",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "21222",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9779787",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Shore Mental Health
• South Shore Mental Health
• South Shore Mental Health Center, Inc. (Aspire Health Alliance)
• South Shore Mental Health, Inc. (Aspire Health Alliance)
• South Shore Oral Surgery Associates Co. Inc.
• South Shore Plastic Surgery (Boston Plastic Surgery)
• South Shore Pulmonary, Inc.
• South Shore Recovery Home
• South Street Dental LLC
• South Suburban Pediatrics

• Plastic Surgery Physician in Quincy, MA
• Providers in Quincy, MA by specialty
• Plastic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.