Peninsula Plastic Surgery Center

LBN: Peninsula Plastic Surgery Center
Peninsula Plastic Surgery Center is an health care organization with primary practice located at 324 Monticello Ave , Williamsburg VA 23185-2834. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Peninsula Plastic Surgery Center can be contacted via phone (757) 229-5200, or through Pitman, John M. via phone (757) 229-5200.

Contact Information

Primary practice address
324 Monticello Ave Williamsburg VA 23185-2834
Phone: (757) 229-5200
Fax: (757) 229-2692
Website:
Map and Directions
Authorized official contact:
Name: Pitman, John M. Doctor of Medicine (MD)
Phone: (757) 229-5200

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101052484 Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1689731986
LBN Legal business name Peninsula Plastic Surgery Center
DBA Doing business as
Authorized official Pitman, John M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 11th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689731986 NPPES
Virginia Other 140457 ANTHEM
Virginia Other 213427 ANTHEM
Virginia Other 121242 ANTHEM
Virginia Other 620043172 ANTHEM
Virginia Other 432612 ANTHEM
Virginia Other 5209080 ANTHEM
Virginia MEDICAID 007601328 ANTHEM
Virginia Other 54536 ANTHEM

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