Taylor Sullivan Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

TAYLOR SULLIVAN PLASTIC SURGERY LLC

Practice address

300 Mount Auburn St Ste 304
Cambridge, MA 02138-5696

Phone

(161) 749-2062

Fax

(617) 492-0631

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Jane Cultrera

Title

Practice Manager

Phone

(781) 820-2784

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Taylor and Sullivan Plastic Surgery

  • Plastic Surgery Physician
  • Cambridge, MA
  • NPI 1376072116

  Member Of

  NPD member

Practitioners 3

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

• Stephen R Sullivan, M.D., M.P.H.

  • Plastic Surgery Physician
  • Cambridge, MA
  • NPI 1154412906
  Medicare reassignment Care Compare group NPD
• Helena Olga Beatrice Taylor, M.D. PH.D.

  • Plastic Surgery Physician
  • Cambridge, MA
  • NPI 1144309006
  Medicare reassignment Care Compare group NPD
• Heather Laurel Bates, PA-C

  • Physician Assistant
  • Worcester, MA
  • NPI 1841987773
  Medicare reassignment

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1558149237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST STE 304",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385696",
            "telephone_number": "161-749-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST STE 304",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385696",
            "telephone_number": "161-749-2062",
            "fax_number": "617-492-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR SULLIVAN PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "CULTRERA",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "781-820-2784"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Tauscher, MD
• Tatiana Tavares Barbosa Barros Goncalves
• Lorenzo Tavelli
• Jeffrey L. Taveras, MD
• Taylor and Sullivan Plastic Surgery
• Charles D Taylor, MD
• Emily Ann Taylor, RDN, LDN
• Englann Taylor
• George M Taylor, PA-C
• Helena Olga Beatrice Taylor, M.D. PH.D.

• Plastic Surgery Physician in Cambridge, MA
• Providers in Cambridge, 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 Sep 15, 2023; 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.