NPIMap

Organization Active NPI

Plastic & Hand Surgical Associates

  • Plastic Surgery Physician
  • Westbrook, ME
National Provider Identifier
1679687594
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC & HAND SURGICAL ASSOCIATES
Practice address
11 Rock Row Ste 210
Westbrook, ME 04092-4877
Phone
(207) 775-3446
Fax
(207) 879-1646
NPI assigned
Aug 18, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Colette Bergeron Davies, CPA
Title
Practice Administrator
Phone
(207) 775-3446

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Primary
Surgery of the Hand (Surgery) Physician 2086S0105X
Plastic and Reconstructive Surgery Physician 2086S0122X

Addresses

Primary practice location

11 Rock Row Ste 210
Westbrook, ME 04092-4877

Mailing address

11 Rock Row Ste 210
Westbrook, ME 04092-4877
Phone (207) 775-3446

Other practice location 1

244 Western Avenue
South Portland, ME 04106-2496
Phone (207) 775-3446

Other identifiers 1

IdentifierTypeStateIssuer
107150000MedicaidME

Other names 1

  • Western Avenue Day Surgery Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040514000129 ME Part B Supplier - Clinic/Group Practice 3476543208 Receives reassigned benefits from 19 practitioners
Practice locations: Westbrook, ME
O20100930006073 ME DME Supplier - Physician - Plastic and Reconstructive SurgeryDME Supplier - Independently-Practicing Occupational Therapist 3476543208 Practice locations: Westbrook, ME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

105 Topsham Fair Mall Rd
Unit 4
Topsham, ME 04086
Phone (207) 775-3446

3073 Main St
North Conway, NH 03860
Phone (603) 356-2131

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1679687594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ROCK ROW STE 210",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924877",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROCK ROW STE 210",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924877",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-1646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 Western Avenue",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041062496",
            "country_code": "US",
            "telephone_number": "207-775-3446",
            "fax_number": "207-879-1646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLASTIC & HAND SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_middle_name": "BERGERON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "207-775-3446",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107150000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Avenue Day Surgery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Western Avenue Day Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.