NPIMap

Organization Active NPI

Plastic Surgery Specialists, PA

  • Plastic Surgery Physician
  • Winter Park, FL
National Provider Identifier
1962577577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
ME0050906 Issued in FL
Legal business name
PLASTIC SURGERY SPECIALISTS, PA
Practice address
851 W Morse Blvd
Winter Park, FL 32789-3708
Phone
(407) 647-7353
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank Henry Stieg III, M.D.
Title
President
Phone
(407) 647-4601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X ME0050906 FL Primary

Addresses

Primary practice location

851 W Morse Blvd
Winter Park, FL 32789-3708

Mailing address

851 W Morse Blvd
Winter Park, FL 32789-3708
Phone (407) 647-7353

Other identifiers 3

IdentifierTypeStateIssuer
1764826013OtherFLCIGNA IRB PALS
623380OtherFLAETNA
13-00012OtherFLUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

851 W Morse Blvd
Winter Park, FL 32789
Phone (407) 647-4601

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962577577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893708",
            "telephone_number": "407-647-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893708",
            "telephone_number": "407-647-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STIEG",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-647-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0050906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA IRB PALS",
            "identifier": "1764826013",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "623380",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "13-00012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.