Plastic & Reconstructive Surgery Assoc LTD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD029517-L Issued in PA

Legal business name

PLASTIC & RECONSTRUCTIVE SURGERY ASSOC LTD

Practice address

515 Waldron Park Dr
Haverford, PA 19041-1929

Phone

(610) 304-7747

Fax

(610) 527-3568

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Barrett Noone Sr., MD

Title

President

Phone

(610) 304-7747

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1124063318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WALDRON PARK DR",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411929",
            "telephone_number": "610-304-7747",
            "fax_number": "610-527-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WALDRON PARK DR",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411929",
            "telephone_number": "610-304-7747",
            "fax_number": "610-527-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC & RECONSTRUCTIVE SURGERY ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "NOONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-304-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD029517-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheree Parker, MHS, LSW
• Kimberley Passidomo, LCSW
• Russell E Phillips, M.D.
• Theresa Marie Pileggi, CRNP
• Corinne Piotrowski, DPT
• Heather Ryan Plunkett, LAPC, MS
• Aimee Prange, MSW, LCSW
• Psychiatric Associates of Pennsylvania
• Aimee N Pugh, MA
• Cassandra Aleen Ratvasky Catapano, OTRL

• Plastic and Reconstructive Surgery Physician in Haverford, PA
• Providers in Haverford, PA by specialty
• Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.