Beauty Mark Plastic Surgery, PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

OS 10442 Issued in FL

Legal business name

BEAUTY MARK PLASTIC SURGERY, PA

Practice address

100 NW 82ND Ave
Suite 405
Plantation, FL 33324-7809

Phone

(954) 474-3792

Fax

(954) 474-3795

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Alberik Keshishian, D.O.

Title

President

Phone

(954) 593-2965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1184997470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "SUITE 405",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247809",
            "telephone_number": "954-474-3792",
            "fax_number": "954-474-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "SUITE 405",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247809",
            "telephone_number": "954-474-3792",
            "fax_number": "954-474-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY MARK PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "KESHISHIAN",
        "authorized_official_first_name": "ALBERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-593-2965",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "OS 10442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinidee Lovette Beauchamp, ARNP
• Farah Beauge, APRN/PMHNP
• Karen Ann Beaulieu, PA
• Beautiful Mind Health LLC
• Beautiful Smiles Plantation P.a. (Dental office)
• Bonnie Rae Beck, M.S.CCC
• Fred Beck, D.C.
• Jaimie Beckman
• Faith Sherie Beerman, MSN ARNPC
• Bita C Behaeddin, MD

• Plastic and Reconstructive Surgery Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Plastic and Reconstructive Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.