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HILLSTROM FACIAL PLASTIC SURGERY PA NPI 1104051978


NPI Information

NPI: 1104051978
Provider Name: HILLSTROM FACIAL PLASTIC SURGERY PA
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

CLIA Number: 10D2044076

Address:
5911 N. HONORE AVE.
SUITE 120
SARASOTA, FL
ZIP 34243
Phone: (941) 355-3223
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HILLSTROM FACIAL PLASTIC SURGERY PA is a plastic surgery within the head and neck plastic surgery in Sarasota, FL. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. HILLSTROM FACIAL PLASTIC SURGERY PA NPI is 1104051978. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5911 N. HONORE AVE.
SUITE 120
SARASOTA, FL
ZIP 34243
Phone: (941) 355-3223
Fax: (941) 358-9749

The provider's authorized official is Robert P Hillstrom .
The authorized official title is President-owner and has the following contact phone number (941) 355-3223.

The CLIA number assigned to this NPI record is 10D2044076 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2009 and was last updated on 5/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyME54913FLORIDANo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckME54913FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00078356OTHERFLORIDARAILROAD
2E22494MEDICARE UPINFLORIDA
308465AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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