Plastic Surgical Associates, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

36527 Issued in MA

Legal business name

PLASTIC SURGICAL ASSOCIATES, INC.

Practice address

2000 Washington St Ste 444
Newton Lower Falls, MA 02462-1608

Phone

(617) 244-0990

Fax

(617) 969-4044

NPI assigned

Mar 5, 2007

Last updated

Jan 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthias B. Donelan, MDNPI 1003876384

Title

President

Phone

(617) 244-0990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 3

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.

• Daniel N Driscoll, MD

  • Plastic and Reconstructive Surgery Physician
  • Newton Lower Falls, MA
  • NPI 1013999523
  Medicare reassignment Care Compare group
• Tram Cao Riley, P.A.

  • Surgical Physician Assistant
  • Newton, MA
  • NPI 1487810750
  Medicare reassignment Care Compare group
• Matthias Bernard Donelan, MD

  • Plastic Surgery Physician
  • Newton Lower Falls, MA
  • NPI 1003876384
  Authorized official Same address or phone

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1154450286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 444",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621608",
            "telephone_number": "617-244-0990",
            "fax_number": "617-969-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WASHINGTON ST STE 444",
            "city": "NEWTON LOWER FALLS",
            "state": "MA",
            "postal_code": "024621608",
            "telephone_number": "617-244-0990",
            "fax_number": "617-969-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "DONELAN",
        "authorized_official_first_name": "MATTHIAS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-244-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "36527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Francis O Brien, MD
• Lucy Cinderella Paniszyn, M.D.
• Anne E Person, O.D.
• Plastic Surgical Assciates
• Plastic Surgical Associates
• Francis Scott Renna, M.D.
• Amy Christine Rod, MS, RD, LDN
• Brian Saltzman, M.D.
• Iris B. Smyth, C.N.P.
• Nancy M Sullivan, C.N.P.

• Specialist in Newton Lower Falls, MA
• Providers in Newton Lower Falls, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.