Hillcrest Dermatology and Plastic Surgery P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME379241 Issued in FL

Legal business name

HILLCREST DERMATOLOGY AND PLASTIC SURGERY P.A.

Practice address

733 Highway 466
Lady Lake, FL 32159-6340

Phone

(407) 999-2585

Fax

(407) 999-2628

NPI assigned

Dec 19, 2013

Last updated

Dec 19, 2013By 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. Kendrick Spence, M.D.

Title

President

Phone

(407) 999-2585

Specialties & licenses 3

Addresses

Locations

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.

• Denise Marie Hollis, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1992093520
  NPD (past)

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1861813719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011210",
            "telephone_number": "407-999-2585",
            "fax_number": "407-999-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 466",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321596340",
            "telephone_number": "407-999-2585",
            "fax_number": "407-999-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST DERMATOLOGY AND PLASTIC SURGERY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-999-2585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS8467",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME73625",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME379241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidis Haven LLC (Heidis Haven - Lady Lake)
• Marcia A Herrin, RPH
• Antonette B Hicks, P.T.
• Barbra Higel, LMT
• Shelbie Hileman, ARNP
• Susan Kathleen Hirtz, M.D.
• Francine Hoh, PHD APN CS ACHPN
• Holiday CVS LLC (CVS Pharmacy 05120)
• Todd David Hope, MD
• Martha Hopkins, PHARMD

• Plastic Surgery Physician in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.