Plastic Surgery Center of Southern Maryland, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC

Practice address

70 Sherry LN Ste 203
Prince Frederick, MD 20678-3275

Phone

(410) 414-9844

Fax

(410) 414-9795

NPI assigned

Jan 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wilfred Russell Ehrmantraut Jr., M.D.NPI 1952480733

Title

President of Organization/Surgeon

Phone

(410) 414-9844

Specialties & licenses 1

Addresses

Practitioners 1

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

• Wilfred R Ehrmantraut Jr., MD

  • Plastic Surgery Physician
  • Prince Frederick, MD
  • NPI 1952480733
  NPD (past) Authorized official

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1356645451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SHERRY LN STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783275",
            "telephone_number": "410-414-9844",
            "fax_number": "410-414-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SHERRY LN STE 203",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783275",
            "telephone_number": "410-414-9844",
            "fax_number": "410-414-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER OF SOUTHERN MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "EHRMANTRAUT",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT OF ORGANIZATION/SURGEON",
        "authorized_official_telephone_number": "410-414-9844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Physical Therapy and Fitness
• Pamela Lynn Pierce, MA, NCC, LCADC
• Kori Lynn Pilkins, BA, CSC-ADP
• Ramin Pirouz, MD
• Lacy Twining Pitman, CRNP
• Plastic Surgery of Southern Maryland, P.a.
• Platinum Therapeutics
• Pocket PT, LLC
• Meena Poddar, M.D.
• Barbara Steel Polak, RN

• Ambulatory Surgical Clinic/Center in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.