Peninsula Cosmetic & Reconstructive Surgery Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0101041391 Issued in VA

Legal business name

PENINSULA COSMETIC & RECONSTRUCTIVE SURGERY INC

Practice address

4000 Coliseum Dr
Suite 110
Hampton, VA 23666-5906

Phone

(757) 827-8486

Fax

(757) 827-8718

NPI assigned

Oct 8, 2010

Last updated

Oct 8, 2010By 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. Mark J Kanter, M.D.NPI 1801810866

Title

Owner/ Doctor

Phone

(757) 827-8486

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mark J Kanter, MD

  • Specialist
  • Hampton, VA
  • NPI 1801810866
  Authorized official Same address or phone

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1720398761",
    "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": "PENINSULA COSMETIC & RECONSTRUCTIVE SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "KANTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "757-827-8486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101041391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6901409",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrics at the Hamptons (Dr. Angela Odom Austin)
• Stephanie L Peglow, DO
• Jiten Ralph Peiris
• Peninsula Behavioral Consulting
• Peninsula Child & Family Services LLC
• Peninsula Family Practice
• Peninsula Foot & Ankle Specialists PLC
• Peninsula Institute for Community Health Inc (Hampton Newport News Community Services Board)
• Peninsula Kidney Associates PC
• Peninsula Neurosurgical Associates, Inc.

• Plastic Surgery Physician in Hampton, VA
• Providers in Hampton, 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 Oct 8, 2010; 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.