Columbia Aesthetic Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

COLUMBIA AESTHETIC PLASTIC SURGERY

Practice address

8860 Columbia 100 Pkwy Ste 314
Columbia, MD 21045-2298

Phone

(410) 740-9330

Fax

(410) 740-9335

NPI assigned

Jul 7, 2006

Last updated

Jul 1, 2024By 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. Eric Chang, MDNPI 1760484398

Title

Owner

Phone

(410) 740-9330

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 4

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.

• Eric Chang, MD

  • Specialist
  • Columbia, MD
  • NPI 1760484398

  Plastic and Reconstructive Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Sui Wang, MD

  • Plastic Surgery Physician
  • Washington, DC
  • NPI 1205368297

  MD

  Medicare reassignment Care Compare group NPD
• Josephine Dubon, PA

  • Physician Assistant
  • Columbia, MD
  • NPI 1235638115
  Medicare reassignment Care Compare group
• Summer Nichole McKissick, A-GNP-C

  • Adult Health Nurse Practitioner
  • Westminster, MD
  • NPI 1376235499
  Medicare reassignment NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1902838469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 314",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452298",
            "telephone_number": "410-740-9330",
            "fax_number": "410-740-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 314",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452298",
            "telephone_number": "410-740-9330",
            "fax_number": "410-740-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA AESTHETIC PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-740-9330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Colon
• Arthur Brian Colquitt, DC
• Columbia Addictions Center
• Columbia Addictions Center
• Columbia Advanced Chiropractic, LLC
• Columbia Aesthetic Surgery Center LLC
• Columbia Associates in Psychiatry PC
• Columbia Center for Implants & Periodontics
• Columbia Chemists LLC (Feldmans medical center pharmacy)
• Columbia Chiropractic

• Plastic Surgery Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.