Individual provider Active NPI

Caroline J Plamondon, MD

  • Plastic Surgery Physician
  • Providence, RI
National Provider Identifier
1447311006
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD9834 Issued in RI
Practice address
1 Randall SQ
Suite 408
Providence, RI 02904-2709
Phone
(401) 272-6602
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 270905 MA
Plastic Surgery Physician 208200000X MD9834 RI Primary

Addresses

Primary practice location

1 Randall SQ
Suite 408
Providence, RI 02904-2709

Mailing address

1 Randall SQ
Suite 408
Providence, RI 02904-2709

Other practice location 1

300B Faunce Corner Rd
North Dartmouth, MA 02747-1257
Phone (508) 973-1020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cplamondon47289@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060308000758 RI Practitioner - Plastic and Reconstructive Surgery 1951318401 Reassigns benefits to 1 organization
Practice locations: Providence, RI
I20190918002468 MA Practitioner - Plastic and Reconstructive Surgery 1951318401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

1076 N Main St
Southcoast Physicians Services Inc
Providence, RI 02904-5709
Phone (401) 273-2460

300 B Faunce Corner Rd
Suite 101
North Dartmouth, MA 02747-1257
Phone (508) 973-1020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD9834RIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Lepoer Podiatry, Inc. PastSince Jan 11, 2020 Accepting new patients
Lepoer Podiatry, Inc. PastSince Feb 23, 2020 Accepting new patients

Locations

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

300B Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-1020

300B Faunce Corner Rd
#103
North Dartmouth, MA 02747

300B Faunce Corner Rd
#101
North Dartmouth, MA 02747
Phone (508) 973-1020

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

1 Randall Sq
Ste 408
Providence, RI 02904
Phone (401) 272-6602

1076 N Main St
Providence, RI 02904
Phone (401) 273-2460

Interoperability endpoints

  • Direct secure messaging: cplamondon47289@direct.southcoast.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1447311006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ",
            "address_2": "SUITE 408",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ",
            "address_2": "SUITE 408",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042709",
            "telephone_number": "401-272-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300B Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027471257",
            "country_code": "US",
            "telephone_number": "508-973-1020",
            "fax_number": "508-973-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAMONDON",
        "first_name": "CAROLINE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "270905",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "RI",
            "license": "MD9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cplamondon47289@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "300B Faunce Corner Rd",
            "city": "North Dartmouth",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027471257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.