Organization Active NPI

La Plastic Surgery, Inc.

  • Plastic Surgery Physician
  • Sarasota, FL
National Provider Identifier
1336577980
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME109505 Issued in FL
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Melinda Lacerna-Kimbrell, MDNPI 1902954720
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.