Mark J Kanter MD PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0101041391 Issued in VA

Legal business name

MARK J KANTER MD PC

Doing business as

Peninsula Cosmetic & Reconstructive Surgery

Practice address

4000 Coliseum Dr
Suite 110
Hampton, VA 23666-5906

Phone

(757) 827-8486

Fax

(757) 827-8718

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Kanter, MD

Title

Owner Presisdent Physician

Phone

(757) 827-8486

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Peninsula Cosmetic & Reconstructive Surgery Doing business as

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1700967783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR",
            "address_2": "SUITE 110",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665906",
            "telephone_number": "757-827-8486",
            "fax_number": "757-827-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COLISEUM DR",
            "address_2": "SUITE 110",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665906",
            "telephone_number": "757-827-8486",
            "fax_number": "757-827-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J KANTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KANTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESISDENT PHYSICIAN",
        "authorized_official_telephone_number": "757-827-8486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "0101041391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM AMBULATORY SURGERY",
            "identifier": "143014",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM AMBULATORY SURGERY",
            "identifier": "143018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Cosmetic & Reconstructive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julita Sindayen Marasigan, DDS
• Marcella Operator LLC
• Arima Baasanjav Marder, ADMIN
• Robert G Marietta, M.D.
• Mark G. Berger, PH.D.
• Paula Turner Markham, PSY.D.
• Vijay Rahul Markonda Patnaik, BDS
• Rachel S Markowski, PT, DPT, ATC
• Marriage Family Works LLC
• Amica Marrow

• Ambulatory Surgical Clinic/Center in Hampton, VA
• Providers in Hampton, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.