Organization Active NPI

Hillstrom Facial Plastic Surgery PA

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Lakewood Ranch, FL
National Provider Identifier
1104051978
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
ME54913 Issued in FL
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

Updated by the provider on Oct 13, 2025

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X ME54913 FL
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P00078356OtherFLRAILROAD

Other names 1

  • Wright Spellman Plastic Surgery Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2044076Wright Spellman Plastic Surgery, PA6310 Health Park Way - Ste 110, Lakewood Ranch, FL 34202Certificate of waiverJul 16, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.