Active NPI
La Plastic Surgery, Inc.
- Plastic Surgery Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME109505
- Legal business name
- LA PLASTIC SURGERY, INC.
- Practice address
- 1274 N Palm Ave
Sarasota, FL 34236-5604 - Phone
- (941) 954-4500
- Fax
- (941) 954-4555
- NPI assigned
- Oct 17, 2013
- Last updated
- Mar 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Lacerna-Kimbrell, MD
- Title
- President
- Phone
- (941) 954-4500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME109505 | FL | Primary |
Addresses
Primary practice location
1274 N Palm Ave
Sarasota, FL 34236-5604
Mailing address
1274 N Palm Ave
Sarasota, FL 34236-5604
Phone (941) 954-4500
National Provider Directory
National Provider DirectoryLocations
5301 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 761-2900
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery Physician
- Bradenton, FL
- NPI 1902954720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488931200000",
"number": "1336577980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1274 N PALM AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342365604",
"telephone_number": "941-954-4500",
"fax_number": "941-954-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1274 N PALM AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342365604",
"telephone_number": "941-954-4500",
"fax_number": "941-954-4555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA PLASTIC SURGERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-17",
"last_updated": "2017-03-08",
"status": "A",
"authorized_official_last_name": "LACERNA-KIMBRELL",
"authorized_official_first_name": "MELINDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "941-954-4500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME109505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.