Beaches Facial and Nasal Surgery Center

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

BEACHES FACIAL AND NASAL SURGERY CENTER

Practice address

1361 13TH Ave S Ste 125
Jacksonville Beach, FL 32250-3260

Phone

(904) 249-2580

NPI assigned

Aug 8, 2007

Organization subpart

No

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

Authorized official

Name

Scott J Trimas, MDFACSNPI 1881784841

Title

Owner

Phone

(904) 249-2580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Scott Jeffery Trimas, MD FACS

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Jacksonville, FL
  • NPI 1881784841
  Medicare reassignment NPD Authorized official
• Ashley Jordan, M.D.

  • Plastic Surgery Physician
  • Delray Beach, FL
  • NPI 1336521012
  Medicare reassignment NPD
• Albert Jen-Chu Yang, MD

  • Plastic and Reconstructive Surgery Physician
  • Jacksonville, FL
  • NPI 1568967206
  Medicare reassignment NPD

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1639360258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 125",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503260",
            "telephone_number": "904-249-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 125",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503260",
            "telephone_number": "904-249-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES FACIAL AND NASAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "TRIMAS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-249-2580",
        "authorized_official_credential": "MDFACS"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaches Confident Kids LLC
• Beaches Counseling & Therapy
• Beaches Ear Nose & Throat
• Beaches Ear, Nose and Throat, PA
• Beaches Eye Center, PA
• Beaches Family Medicine PA
• Beaches Healthcare, P.a.
• Beaches Nature Therapy LLC
• Beaches Neurology Clinic
• Beaches Open MRI, LLC

• Otolaryngology/Facial Plastic Surgery Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.