Cosmetic Plastic Surgery and Laser Center LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

COSMETIC PLASTIC SURGERY AND LASER CENTER LLC

Practice address

49 St. Paul Drive
Chambersburg, PA 17201

Phone

(717) 261-1620

Fax

(717) 261-5912

NPI assigned

Jun 15, 2010

Last updated

May 2, 2022By 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

Salvatore Dimercurio, M.D.

Title

President

Phone

(301) 714-4466

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1639490519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ST PAUL DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011020",
            "telephone_number": "717-261-1620",
            "fax_number": "717-261-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ST. PAUL DRIVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "17201",
            "telephone_number": "717-261-1620",
            "fax_number": "717-261-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC PLASTIC SURGERY AND LASER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "DIMERCURIO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-714-4466",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Sue Cordell
• Michael M Coriale Sr., MD
• Katherine E Cornwell, PA-C
• Karen A Corwell, RN
• Tisha Corwell
• Carolyn Aileen Coss Coss, SLP/AUD
• Kenneth W Costner
• Cody Coven, PT
• Michele Mariea Covert, OTR/L
• Derek Coy, CRNA

• Point of Service in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Point of Service in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.