Plastic Surgery Ctr PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

PLASTIC SURGERY CTR PA

Practice address

222 St John St
Ste 321
Portland, ME 04102

Phone

(207) 775-1933

Fax

(207) 871-9316

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Verne M Weisberg, MD

Title

Medical Director

Phone

(207) 775-1933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1174722201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ST JOHN ST",
            "address_2": "STE 321",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-775-1933",
            "fax_number": "207-871-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ST JOHN ST",
            "address_2": "STE 321",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-775-1933",
            "fax_number": "207-871-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CTR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "VERNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "207-775-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PK Holdings, Inc.
• Amanda Marie Place, LADC
• Planned Parenthood of Northern New England
• Amy Plante, PA-C
• Caitrin Mary Plante
• Platinum Home Health Care LLC
• Sherry Renee Plemons, M.S., BCAT, RBT
• Cheryl Plourde, LCSW
• Plume Health PC
• Ryan Alan Plummer

• Plastic and Reconstructive Surgery Physician in Portland, ME
• Providers in Portland, ME by specialty
• Plastic and Reconstructive Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.