PENINSULA PLASTIC SURGERY CENTER; NPI #1689731986

Contact Information

PENINSULA PLASTIC SURGERY CENTER

324 MONTICELLO AVE
WILLIAMSBURG, VA 23185-2834

Phone: 757-229-5200
Fax: 757-229-2692
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	208D00000X	99	Physician/Undefined Physician type[6]
Plastic Surgery	208200000X	02	Physician/General Surgery
Specialist	174400000X
Surgery of the Hand	2082S0105X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for PENINSULA PLASTIC SURGERY CENTER

NPI Number 1689731986

LBN Legal business name PENINSULA PLASTIC SURGERY CENTER

Authorized official JOHN PITMAN - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/03/2007

Last updated 12/11/2020 - About 5 years ago

Identifiers

VA	License #	0101052484
VA	Medicaid	007601328
VA	Other	5209080	AETNA
VA	Other	140457	ANTHEM
VA	Other	213427	CIGNA
VA	Other	620043172	RAILROAD MEDICARE
VA	Other	54536	SENTARA OPTIMA
VA	Other	121242	SOUTHERN HEALTH
VA	Other	432612	UNITED HEALTHCARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PENINSULA PLASTIC SURGERY CENTER

Contact Information

Specialty

General Practice

Plastic Surgery

Specialist

Surgery of the Hand

NPI Profile & details for PENINSULA PLASTIC SURGERY CENTER

Reviews for PENINSULA PLASTIC SURGERY CENTER