ADVANCED CENTER FOR PLASTIC SURGERY NPI 1770501330

NPI Information

  • NPI: 1770501330
  • Provider Name: ADVANCED CENTER FOR PLASTIC SURGERY
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • CLIA Number: 21D2089775
  • Address: 12205 TULLAMORE RD
    TIMONIUM, MD
    ZIP 21093
  • Phone: (410) 308-4700

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NPI Details

ADVANCED CENTER FOR PLASTIC SURGERY is a plastic and reconstructive surgery surgery in Timonium, MD. The provider is a surgeon who specializes in plastic and reconstructive surgery. ADVANCED CENTER FOR PLASTIC SURGERY NPI is 1770501330. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12205 TULLAMORE RD
TIMONIUM, MD
ZIP 21093-816
Phone: (410) 308-4700
Fax: (410) 308-4704

The provider's authorized official is Beverly Anne Fischer .
The authorized official title is Owner and has the following contact phone number (410) 308-4700.

The CLIA number assigned to this NPI record is 21D2089775 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 10/19/2012.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1181PMEDICARE PINMARYLAND
2E422OTHERDISTRICT OF COLUMBIACAREFIRST
3KG04ADOTHERMARYLANDCAREFIRST
4DE0665OTHERGEORGIARAILROAD MEDICARE

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: 11/21/2025

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