Active NPI
Plastic Surgery Center of Duluth PLLC
- Plastic Surgery Physician
- Duluth, MN
National Provider Identifier
1558988477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- PLASTIC SURGERY CENTER OF DULUTH PLLC
- Practice address
- 324 W Superior St Ste 100
Duluth, MN 55802-1763 - Phone
- (218) 215-8990
- Fax
- (218) 217-4371
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edgar F Saldana, MD
- Title
- MD/Owner
- Phone
- (218) 215-8990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
324 W Superior St Ste 100
Duluth, MN 55802-1763
Mailing address
324 W Superior St Ste 100
Duluth, MN 55802-1763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
324 W Superior St
Ste 100
Duluth, MN 55802
Phone (218) 215-8990
324 W Superior St
Ste 330
Duluth, MN 55802
7831 E Bush Lake Rd
Ste 302
Minneapolis, MN 55439
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Duluth, MN
- NPI 1043260557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597708800000",
"number": "1558988477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W SUPERIOR ST STE 100",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 W SUPERIOR ST STE 100",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021763",
"telephone_number": "218-215-8990",
"fax_number": "218-217-4371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY CENTER OF DULUTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A",
"authorized_official_last_name": "SALDANA",
"authorized_official_first_name": "EDGAR",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "218-215-8990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.