Boston Plastic Surgery Associates, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

BOSTON PLASTIC SURGERY ASSOCIATES, PC

Practice address

1153 Centre St
Suite 5790
Boston, MA 02130-3446

Phone

(617) 522-0008

Fax

(617) 522-2587

NPI assigned

Jul 13, 2005

Last updated

Oct 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eleanor C Pitts, MDNPI 1811995806

Title

President

Phone

(617) 522-0008

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: pitts.eleanor.nwh@direct.partners.masshiway.net

Practitioners 3

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.

• Eleanor C Pitts, MD

  • Plastic and Reconstructive Surgery Physician
  • Boston, MA
  • NPI 1811995806

  Plastic Surgery

  Medicare reassignment NPD Authorized official
• Gregory G. Harris, MD, MPH

  • Psychiatry Physician
  • Brookline, MA
  • NPI 1619923877
  NPD (past)
• Kristina Zingg, CFA

  • Surgical Technologist
  • Boston, MA
  • NPI 1336277375
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1417955402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST",
            "address_2": "STE. 670",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081604",
            "telephone_number": "508-754-3566",
            "fax_number": "508-438-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "SUITE 5790",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-522-0008",
            "fax_number": "617-522-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON PLASTIC SURGERY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-522-0008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9783261",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Boston Plastic & Oral Surgery
• Boston Premier Dentistry, PC
• Boston Professionals Counseling, LLC
• Boston Psychiatry Group
• Boston Psychotherapy & Counseling Services Inc
• Boston Psychotherapy Associates

• Plastic Surgery Physician in Boston, MA
• Providers in Boston, MA by specialty
• Plastic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.