PENINSULA PLASTIC SURGERY CENTER NPI 1356930788

NPI Information

  • NPI: 1356930788
  • Provider Name: PENINSULA PLASTIC SURGERY CENTER
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 324 MONTICELLO AVE
    WILLIAMSBURG, VA
    ZIP 23185
  • Phone: (757) 229-5200

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NPI Details

PENINSULA PLASTIC SURGERY CENTER is a plastic surgery in Williamsburg, VA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PENINSULA PLASTIC SURGERY CENTER NPI is 1356930788. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

324 MONTICELLO AVE
WILLIAMSBURG, VA
ZIP 23185-834
Phone: (757) 229-5200
Fax: (757) 229-2692

The provider's authorized official is John Pitman .
The authorized official title is President and has the following contact phone number (757) 229-5200.

The enumeration date for this NPI number is 1/11/2021 and was last updated on 1/11/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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