NPIMap

Organization Active NPI

Renaissance Plastic Surgery Group LLC

Doing business as stofman plastic surgery group llc

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1902010309
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD034789E Issued in PA
Legal business name
RENAISSANCE PLASTIC SURGERY GROUP LLC
Doing business as
stofman plastic surgery group llc
Practice address
1350 Locust St
G103
Pittsburgh, PA 15219-4738
Phone
(412) 232-8089
Fax
(412) 232-8340
NPI assigned
May 9, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Guy M Stofman, MDNPI 1225098882
Title
Ceo
Phone
(412) 232-8089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD034789E PA Primary

Addresses

Primary practice location

1350 Locust St
G103
Pittsburgh, PA 15219-4738

Mailing address

PO Box 101836
Pittsburgh, PA 15237-0836
Phone (412) 232-8089

Other names 1

  • stofman plastic surgery group llc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1902010309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101836",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152370836",
            "telephone_number": "412-232-8089",
            "fax_number": "412-232-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 LOCUST ST",
            "address_2": "G103",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152194738",
            "telephone_number": "412-232-8089",
            "fax_number": "412-232-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE PLASTIC SURGERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "STOFMAN",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-232-8089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD034789E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stofman plastic surgery group llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.