Santamarina Aesthetic and Plastic Surgery LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

219998 Issued in MA

Legal business name

SANTAMARINA AESTHETIC AND PLASTIC SURGERY LLC

Practice address

55 Pittsfield Rd
Building 12C
Lenox, MA 01240-2123

Phone

(413) 344-1750

Fax

(413) 728-8794

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Rodrigo Santamarina, M.D.

Title

Owner

Phone

(413) 344-1750

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1780069765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PITTSFIELD RD",
            "address_2": "BUILDING 12C",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402123",
            "telephone_number": "413-344-1750",
            "fax_number": "413-728-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PITTSFIELD RD",
            "address_2": "BUILDING 12C",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402123",
            "telephone_number": "413-344-1750",
            "fax_number": "413-728-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTAMARINA AESTHETIC AND PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "SANTAMARINA",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-344-1750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "219998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110075931A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmajean Rombach, LAC.
• Joy Ruben Welts
• Marc Evan Rudin, DC
• Jane Ann Salata, LICSW
• Breanna Saloio, CCC-SLP
• Rebecca L Schirber, LIC. AC.
• Jennifer Schnopp, MA-CCC-SLP
• Sharon a. Mozian, M.D., P.C.
• Valerie Appolonia Sheehan, LICSW
• Anna Walker Shippee, LCSW

• Medical Specialty Clinic/Center in Lenox, MA
• Providers in Lenox, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.