Organization Active NPI

A.Desrosiers III, M.D., Corp

  • Plastic Surgery Physician
  • Coral Gables, FL
National Provider Identifier
1790161172
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME110935 Issued in FL
Legal business name
A.DESROSIERS III, M.D., CORP
Practice address
6705 S Red Road
Suite 516
Coral Gables, FL 33143
Phone
(305) 403-2922
Fax
(305) 517-3130
NPI assigned
Aug 7, 2015
Last updated
Aug 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Dr. Arthur Desrosiers III, M.D.NPI 1770700429
Title
Ceo
Phone
(305) 403-2922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X ME110935 FL
Plastic Surgery Physician 208200000X ME110935 FL Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME110935 FL

Addresses

Primary practice location

6705 S Red Road
Suite 516
Coral Gables, FL 33143

Mailing address

6705 S Red Road
Suite 516
Coral Gables, FL 33143
Phone (305) 403-2922

National Provider Directory

National Provider Directory
Tax ID family
A Desrosiers III MD Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1790161172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 S RED ROAD",
            "address_2": "SUITE 516",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-403-2922",
            "fax_number": "305-517-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 S RED ROAD",
            "address_2": "SUITE 516",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-403-2922",
            "fax_number": "305-517-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.DESROSIERS III, M.D., CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "DESROSIERS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-403-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME110935",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME110935",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME110935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.