Southwest Virginia Center for Cosmetic Plastic & Recon Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101050226 Issued in VA

Legal business name

SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY

Practice address

2965 Colonnade Drive
Suite 140
Roanoke, VA 24018-3541

Phone

(540) 989-6361

Fax

(540) 989-6361

NPI assigned

Oct 19, 2006

Last updated

Apr 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Breiner, M.D.NPI 1174543714

Title

President

Phone

(540) 989-6361

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Joseph Breiner, MD

  • Plastic Surgery Physician
  • Roanoke, VA
  • NPI 1174543714
  Authorized official Same address or phone

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1609958776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 COLONNADE DRIVE",
            "address_2": "SUITE 140",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183541",
            "telephone_number": "540-989-6361",
            "fax_number": "540-989-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 COLONNADE DRIVE",
            "address_2": "SUITE 140",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183541",
            "telephone_number": "540-989-6361",
            "fax_number": "540-989-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST VIRGINIA CENTER FOR COSMETIC PLASTIC & RECON SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "BREINER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-989-6361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101050226",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101050226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc. (ResCare Home Care)
• Southern Home Care Services, Inc.
• Southern State Electric & Plumbing (Southern Trust Home Service)
• Southerncare, Inc. (Gentiva II)
• Southwest Medical Clinic
• Southwest Virginia Eye Center, PLLC (Southwest Virginia Eye Center)
• Southwest Virginia Nephrology LLC
• Southwest Virginia Nephrology Medicine, PC
• Southwest Virginia Oral & Maxillofacial Surgery, PLLC
• Ann B Sowers, M.D.

• Plastic Surgery Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.