Plastic Surgery Associates of Tidewater, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

05286935 Issued in VA

Legal business name

PLASTIC SURGERY ASSOCIATES OF TIDEWATER, INC.

Practice address

300 Medical Pkwy
Suite 316
Chesapeake, VA 23320-4985

Phone

(757) 547-0047

Fax

(757) 548-3370

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Craig Merrell, M.D.,FACS

Title

President

Phone

(757) 673-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Katherine Stephenson Loose, PA-C

  • Physician Assistant
  • Suffolk, VA
  • NPI 1942614235
  NPD
• Susan Sobel

  • Nurse Practitioner
  • Wilmington, NC
  • NPI 1588908149
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348272000000",
    "number": "1295822351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY",
            "address_2": "SUITE 316",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-547-0047",
            "fax_number": "757-548-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY",
            "address_2": "SUITE 316",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-547-0047",
            "fax_number": "757-548-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES OF TIDEWATER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-09-22",
        "status": "A",
        "authorized_official_last_name": "MERRELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-673-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,FACS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "05286935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Pizzini, DDS
• PL Solutions LLC
• Planet Chiropractic, LLC
• Planet Wellness LLC
• Lindsay Plant, PHARM,D.
• Gail Verna Plauka, D.M.D.
• Play Time Physical Therapy
• Play to Grow PLLC
• Cesar M. Plazas-Guzman, M.D.
• Amanda Plumb, LPC,CCTP,CATP,CGCS

• Specialist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.