Facial Plastic & Reconstructive Surgery Specialists PA

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

23875 Issued in MN

Legal business name

FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA

Practice address

7373 France Ave S
Suite 410
Edina, MN 55435-4534

Phone

(952) 844-0404

NPI assigned

Nov 14, 2006

Last updated

Jun 24, 2008By 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

Jyl R Dinville

Title

Physician Coding & Reimbursement

Phone

(402) 397-5462

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Sofia Lyford-Pike, M.D,

  • Facial Plastic Surgery Physician
  • Edina, MN
  • NPI 1801004866
  NPD (past)
• Tsung-Yen Hsieh, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Los Angeles, CA
  • NPI 1548505100
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1992877088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27015",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681270015",
            "telephone_number": "402-393-9459",
            "fax_number": "402-397-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "address_2": "SUITE 410",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354534",
            "telephone_number": "952-844-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL PLASTIC & RECONSTRUCTIVE SURGERY SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "DINVILLE",
        "authorized_official_first_name": "JYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN CODING & REIMBURSEMENT",
        "authorized_official_telephone_number": "402-397-5462"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MN",
            "license": "23875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "34040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP13518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "1300010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaron Michael Faber, DC
• Fabrizio Neuropsychology PLLC (Cognitive Insights)
• Amy Joy Fabrizio, MS, RDN
• Katherine Sarah Fabrizio, PH.D.
• Fabulous Families
• Paul T Fadden, MD
• Ryan Robert Fader, M.D.
• Cole Fahey, RN
• Shari Ann Fahey, PA-C
• Marina Emil Fahim

• Plastic Surgery Physician in Edina, MN
• Providers in Edina, MN by specialty
• Plastic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.