Organization Active NPI

Aesthetic Center for Cosmetic & Reconstructive Surgery, LLP

Doing business as Ocala Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Ocala, FL
National Provider Identifier
1104877729
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
AESTHETIC CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY, LLP
Doing business as
Ocala Plastic Surgery
Practice address
3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone
(352) 629-8154
Fax
(352) 629-5231
NPI assigned
May 16, 2006
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Dr. James H Rogers, M.D.NPI 1629071089
Title
Partner
Phone
(352) 629-8154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X FL
Plastic and Reconstructive Surgery Physician 2086S0122X FL Primary

Addresses

Primary practice location

3320 SW 34TH Cir
Ocala, FL 34474-3371

Mailing address

3320 SW 34TH Cir
Ocala, FL 34474-3371
Phone (352) 629-8154

Other names 1

  • Ocala Plastic Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000628 FL Part B Supplier - Clinic/Group Practice 2163458381 Receives reassigned benefits from 5 practitioners
Practice locations: Dunnellon, FL; Ocala, FL; The Villages, FL

National Provider Directory

National Provider Directory

Locations

20056 E Pennsylvania Ave
Dunnellon, FL 34432
Phone (352) 629-8154

20056 E Pennsylvania Ave
Unit 6
Dunnellon, FL 34432
Phone (352) 422-0602

11950 County Road 101
Ste 205
The Villages, FL 32162
Phone (352) 750-0019

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1104877729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154",
            "fax_number": "352-629-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SW 34TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344743371",
            "telephone_number": "352-629-8154",
            "fax_number": "352-629-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC CENTER FOR COSMETIC & RECONSTRUCTIVE SURGERY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "352-629-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocala Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.