Organization Active NPI

John G Westine MD PA

Doing business as Delray Beach Plastic Surgery

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Delray Beach, FL
National Provider Identifier
1124357363
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
81964 Issued in FL
Legal business name
JOHN G WESTINE MD PA
Doing business as
Delray Beach Plastic Surgery
Practice address
250 Dixie Blvd
Suite 103
Delray Beach, FL 33444-3857
Phone
(561) 278-3245
Fax
(561) 276-1904
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. John Ganson Westine, MD
Title
Owner
Phone
(561) 278-3245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X 81964 FL Primary

Addresses

Primary practice location

250 Dixie Blvd
Suite 103
Delray Beach, FL 33444-3857

Mailing address

250 Dixie Blvd
Suite 103
Delray Beach, FL 33444-3857
Phone (561) 278-3245

Other names 1

  • Delray Beach 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
10D1096175Delray Beach Facial Plastic Surgery250 Dixie Blvd, Delray Beach, FL 33444Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

250 Dixie Blvd
Ste 103
Delray Beach, FL 33444
Phone (561) 278-3245

Practitioners & affiliated clinicians

Practitioners 4

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": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1124357363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 DIXIE BLVD",
            "address_2": "SUITE 103",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443857",
            "telephone_number": "561-278-3245",
            "fax_number": "561-276-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 DIXIE BLVD",
            "address_2": "SUITE 103",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443857",
            "telephone_number": "561-278-3245",
            "fax_number": "561-276-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G WESTINE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "WESTINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GANSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-278-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "81964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delray Beach Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.