Peninsula Plastic Surgery, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1997115585 Issued in DE

Legal business name

PENINSULA PLASTIC SURGERY, P.C.

Practice address

20930 Dupont Blvd
201 Gray Stone Towers
Georgetown, DE 19947-1725

Phone

(410) 546-0464

Fax

(410) 546-8529

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Jill G Taylor

Title

Billing Manager

Phone

(410) 546-0464

Specialties & licenses 1

Addresses

Tax ID family

Peninsula Plastic Surgery P2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peninsula Plastic Surgery, P.C.

  • Specialist
  • Berlin, MD
  • NPI 1396228995
  NPD tax ID

Locations

Practitioners 1

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

• Vincent J Perrotta, M.D.

  • Plastic Surgery Physician
  • Salisbury, MD
  • NPI 1720033541
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1396991675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W CARROLL ST",
            "address_2": "SUITE 1",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015409",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD",
            "address_2": "201 GRAY STONE TOWERS",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471725",
            "telephone_number": "410-546-0464",
            "fax_number": "410-546-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-546-0464"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "DE",
            "license": "1997115585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Wheeler Parker, DDS
• Samantha Jean Parker
• Pathways to Success, Inc.
• Kelle A Paynter
• Janet T Pedro, MD
• Dareth Penuel
• Jessica Pepper, RNC-OB
• Kristina M Perkins, LCSW
• Persante Sleep Care, Inc.
• Erica Jean Persaud, M.ED., LPCMH, NCC

• Specialist in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.