PLASTIC SURGERY CTR PA
NPI 1174722201
Surgery - Plastic and Reconstructive Surgery in Portland, ME

Active since July 18, 2007
222 ST JOHN ST, STE 321, PORTLAND, ME 04102(207) 775-1933(207) 871-9316 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Surgery
  • Plastic and Reconstructive Surgery

About PLASTIC SURGERY CTR PA

This page provides the complete NPI Profile along with additional information for Plastic Surgery Ctr Pa, a provider established in Portland, Maine operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1174722201 assigned on July 2007. The practitioner's primary taxonomy code is 2086S0122X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Verne M Weisberg Md (Medical Director)

NPI
1174722201 Verify this NPI
Provider Name
PLASTIC SURGERY CTR PA
Entity Type
Organization
Location Address
222 ST JOHN ST STE 321 PORTLAND, ME 04102
Location Phone
(207) 775-1933
Location Fax
(207) 871-9316
Mailing Address
222 ST JOHN ST STE 321 PORTLAND, ME 04102
Mailing Phone
(207) 775-1933
Mailing Fax
(207) 871-9316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-18-2007
Last Update Date
07-18-2007
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License State
ME
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. VERNE M WEISBERG MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(207) 775-1933

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MM3714MEDICARE PIN (08)ME 

Reviews for PLASTIC SURGERY CTR PA

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
222 ST JOHN ST, # 113
PORTLAND, ME 04102
Occupational Therapist
222 ST JOHN ST, SUITE 226
PORTLAND, ME 04102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174722201, enumerated as an "organization" on July 18, 2007.

The provider is located at 222 ST JOHN ST STE 321 PORTLAND, ME 04102 and the phone number is (207) 775-1933.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.