Blackhawk Plastic Surgery, a Medical Corp.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

BLACKHAWK PLASTIC SURGERY, A MEDICAL CORP.

Practice address

3600 Blackhawk Plaza Cir
Danville, CA 94506-4623

Phone

(925) 736-5757

Fax

(925) 736-5763

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen J. Ronan, M.D.NPI 1649239971

Title

Owner

Phone

(925) 736-5757

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stephen John Ronan, MD

  • Plastic Surgery Physician
  • Danville, CA
  • NPI 1649239971
  NPD (past) Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1114960358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "STE 440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-440-3131",
            "fax_number": "310-472-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BLACKHAWK PLAZA CIR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064623",
            "telephone_number": "925-736-5757",
            "fax_number": "925-736-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKHAWK PLASTIC SURGERY, A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "RONAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-736-5757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Bhateja, PHARMD
• Tamar Binyamin
• Elizabeth Leslie Black, LMFT, PH.D.
• Blackhawk Dental Group
• Blackhawk Medical Group, Inc
• Blackhawk Surgery Center, a Medical Corp.
• Leslie A Blinn, PHARM. D.
• Charlene Boatright, FNP
• Victoria E Boccanfuso, PSYD
• Christina Dolores Bode, RD, CDE

• Plastic Surgery Physician in Danville, CA
• Providers in Danville, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.