Unknown Individual – Plastic Surgery Physician, NPI 1124000468
Plastic Surgery Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
MedStar Good Samaritan Hospital, 5601, Loch Raven Boulevard, Woodbourne Heights, Baltimore, Maryland, 21239, United States
SUITE 101, POB
BALTIMORE, MD 212392905
Phone: (410) 433-4300
Fax: (410) 433-4491
Mailing address matches the actual address.
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21239)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | MD | 11042 | Removal of skin and tissue first 20 sq cm or less | 282 | 75 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DC | |
| Internal Medicine | MD | |
| - | MD | |
| General Surgery | MD | |
| - | MD | |
| Emergency Medicine, General Practice | MD | |
| Plastic And Reconstructive Surgery | MD | |
| - | MD | |
| Critical Care (Intensivists) | MD | |
| Internal Medicine | MD |
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