Pearson Facial Plastic Surgery PA

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

ME80556 Issued in FL

Legal business name

PEARSON FACIAL PLASTIC SURGERY PA

Practice address

1835 East West Parkway
Suite 19
Orange Park, FL 32003

Phone

(904) 215-7377

Fax

(904) 215-7350

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Craig Pearson, M.D.NPI 1558322610

Title

President

Phone

(904) 215-7377

Specialties & licenses 1

Addresses

Other names 1

• Fleming Island Ear, Nose & Throat Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Craig Pearson, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Orange Park, FL
  • NPI 1558322610
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1780739482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 EAST WEST PARKWAY",
            "address_2": "SUITE 19",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-215-7377",
            "fax_number": "904-215-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 EAST WEST PARKWAY",
            "address_2": "SUITE 19",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32003",
            "telephone_number": "904-215-7377",
            "fax_number": "904-215-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON FACIAL PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-215-7377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME80556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fleming Island Ear, Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eidel Pearl, MSW
• Pearle Vision Inc.
• Amanda Pearlman
• Maigen Pearlman
• Peyton Pearlman
• Amy Schroeder Pearson, MS, ATC, LAT
• David Pearson, PT
• David Craig Pearson, M.D.
• Harold William Pearson, M.D.
• Marilyn Pearson, DDS

• Otolaryngology/Facial Plastic Surgery Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.