O'Sullivan Plastic Surgery PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

157703 Issued in MA

Legal business name

O'SULLIVAN PLASTIC SURGERY PC

Practice address

14 Denton Rd
Wellesley, MA 02482

Phone

(781) 235-1007

Fax

(781) 235-0006

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Lloyd Osullivan, MD

Title

Dr. Owner/President

Phone

(781) 235-1007

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Kimberley Lloyd O'Sullivan, M.D.

  • Plastic Surgery Physician
  • Wellesley, MA
  • NPI 1760461917
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1821249996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 129",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "01923",
            "telephone_number": "978-762-4888",
            "fax_number": "978-762-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DENTON RD",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02482",
            "telephone_number": "781-235-1007",
            "fax_number": "781-235-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'SULLIVAN PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "OSULLIVAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "DR.  OWNER/PRESIDENT",
        "authorized_official_telephone_number": "781-235-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "157703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "J18967",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108961",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin B O'Donnell, PA-C
• Joseph O'Garr, M.D.
• Kathleen O'Meara, APRN
• Carrie O'Regan, PA-C
• Kathryn Elizabeth O'Reilly
• Kimberley Lloyd O'Sullivan, M.D.
• Carolyn M Oberting, M.A.
• Odds and Ends Therapy Services, LLC
• Kaleigh Odonnell
• Omolola E. Ogunleye, DPT

• Plastic and Reconstructive Surgery Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Plastic and Reconstructive Surgery Physician in Massachusetts

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