Capital Area Plastic Surgery, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

256948 Issued in NY

Legal business name

CAPITAL AREA PLASTIC SURGERY, PLLC

Practice address

377 Church St
Saratoga Springs, NY 12866-8641

Phone

(518) 203-2593

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Diane Kritz

Title

Office Manager

Phone

(518) 203-2593

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Dimitri J Koumanis, M.D.

  • Plastic Surgery Physician
  • Glens Falls, NY
  • NPI 1003992926
  Medicare reassignment NPD
• Chad Derrick Macnaughton, DC, FNP

  • Family Nurse Practitioner
  • Glens Falls, NY
  • NPI 1376625079
  NPD (past)

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1124327341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668641",
            "telephone_number": "518-203-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128668641",
            "telephone_number": "518-203-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "KRITZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-203-2593"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "256948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Colin Campbell, D.C.
• John T Canfield, PHARMACIST
• Michael J Canfield, MD
• Brooke Badgett Cannie, M.A. CCC-SLP
• Capital Area Hudson Valley New York Dental PC
• Capital Home Registered Nursing Service, PLLC
• Capital Index Corporation
• Capital Region NP Consulting in Family Business
• Capital Region Urological Surgeons, PLLC
• Alex C Capo, LMHC

• Specialist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.