Greenwich Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0404243 Issued in CT

Legal business name

GREENWICH PLASTIC SURGERY LLC

Practice address

2 1/2 Dearfield Dr
Greenwich, CT 06831-5335

Phone

(203) 629-1900

Fax

(212) 207-9252

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Steven A Fern, M.D.

Title

Owner

Phone

(203) 629-1900

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Keith J Attkiss, M.D.

  • Plastic Surgery Physician
  • Greenwich, CT
  • NPI 1053457408
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1568770477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1/2 DEARFIELD DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315335",
            "telephone_number": "203-629-1900",
            "fax_number": "212-207-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1/2 DEARFIELD DR",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315335",
            "telephone_number": "203-629-1900",
            "fax_number": "212-207-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "FERN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-629-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "0404243",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CT",
            "license": "0404243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "240000170",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenwich Pain and Spine (Restorative Pain Solutions LLC)
• Greenwich Pathology Associates, LLC
• Greenwich Pediatric Services PC
• Greenwich Pharmacy LLC
• Greenwich Plastic Surgery Center
• Greenwich Point Dermatology LLC
• Greenwich Precision Health PLLC
• Greenwich Psychology Group
• Greenwich Psychotherapy & Associates LLC
• Greenwich Psychotherapy Now

• Plastic Surgery Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Plastic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.