Organization Active NPI

Juan Carlos Giachino MD, PA

  • Specialist
  • Stuart, FL
National Provider Identifier
1972794857
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0032724 Issued in FL
Legal business name
JUAN CARLOS GIACHINO MD, PA
Doing business as
PLASTIC SURGERY ASSOCIATES
Practice address
421 SE Osceola St
Stuart, FL 34994-2505
Phone
(772) 283-8160
Fax
(772) 283-8177
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Dr. Juan C Giachino Sr., MDNPI 1609899939
Title
Owner
Phone
(772) 283-8160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME0032724 FL Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME86071 FL

Addresses

Primary practice location

421 SE Osceola St
Stuart, FL 34994-2505

Mailing address

1801 SE Hillmoor Dr Ste a-107
Port Saint Lucie, FL 34952-7545
Phone (772) 283-8160

Other names 1

  • PLASTIC SURGERY ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000141 FL Part B Supplier - Clinic/Group Practice 4385804111 Receives reassigned benefits from 1 practitioner
Practice locations: Port St. Lucie, FL; Stuart, FL

National Provider Directory

National Provider Directory

Locations

1801 SE Hillmoor Dr
Ste A-107
Port St Lucie, FL 34952
Phone (772) 335-3350

421 SE Osceola St
Ste A
Stuart, FL 34994
Phone (772) 283-8160

Practitioners & affiliated clinicians

Practitioners 1

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1972794857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE A-107",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527545",
            "telephone_number": "772-283-8160",
            "fax_number": "772-283-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942505",
            "telephone_number": "772-283-8160",
            "fax_number": "772-283-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CARLOS GIACHINO MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "GIACHINO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-283-8160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0032724",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME86071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLASTIC SURGERY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PLASTIC SURGERY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.