Active NPI
Hillstrom Facial Plastic Surgery PA
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Lakewood Ranch, FL
National Provider Identifier
1104051978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- ME54913
- Legal business name
- HILLSTROM FACIAL PLASTIC SURGERY PA
- Doing business as
- Wright Spellman Plastic Surgery
- Practice address
- 6310 Health Park Way Ste 110
Lakewood Ranch, FL 34202-5177 - Phone
- (941) 355-3223
- Fax
- (941) 358-9749
- NPI assigned
- May 22, 2009
- 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
- Harry Vernon Wright
- Title
- President
- Phone
- (941) 355-3223
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME54913 | FL | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | ME54913 | FL | Primary |
Addresses
Primary practice location
6310 Health Park Way Ste 110
Lakewood Ranch, FL 34202-5177
Mailing address
Box 195
8374 Market Street
Bradenton, FL 34202-5137
Phone (941) 355-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00078356 | Other | FL | RAILROAD |
Other names 1
- Wright Spellman Plastic Surgery
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2044076 | Wright Spellman Plastic Surgery, PA | Certificate of waiver | Jul 16, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Providence, RI
- NPI 1730379843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760313600000",
"number": "1104051978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 195",
"address_2": "8374 MARKET STREET",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342025137",
"telephone_number": "941-355-3223",
"fax_number": "941-358-9749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 HEALTH PARK WAY STE 110",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342025177",
"telephone_number": "941-355-3223",
"fax_number": "941-358-9749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSTROM FACIAL PLASTIC SURGERY PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-22",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "VERNON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-355-3223"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME54913",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "FL",
"license": "ME54913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00078356",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wright Spellman Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakewood Ranch, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.