Plastic Surgery Services

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0052231 Issued in MD

Legal business name

PLASTIC SURGERY SERVICES

Practice address

1140 Conrad CT
Hagerstown, MD 21740-5905

Phone

(301) 791-1800

Fax

(301) 791-9253

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Andrea Reginato

Title

Office Manager

Phone

(301) 791-1800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Henry Fernando Garazo, MD

  • Plastic Surgery Physician
  • Hagerstown, MD
  • NPI 1558359653

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1508044249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 CONRAD CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405905",
            "telephone_number": "301-791-1800",
            "fax_number": "301-791-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CONRAD CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405905",
            "telephone_number": "301-791-1800",
            "fax_number": "301-791-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "REGINATO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-791-1800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0052231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivakumar Pinnoju, R.PH., M.B.A.
• Marlena Pique, LCSWC
• Cynthia Pitcher, CAC-AD, ADS
• Pivots Potential LLC
• Plant the Seeds of Maryland LLC
• Plinth Healthcare LLC
• Jacob Plume
• Melissa Leigh Plunkett
• Podiatry Associates of Hagerstown
• Podiatry Associates of Hagerstown

• All providers in Hagerstown, MD
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.