JEFFREY A HEROLD MD - NPI 1346213980 - Plastic Surgery in Sheboygan, WI

Q: What is Great Lakes Plastic Surgery Sc's NPI number?

The NPI number for Great Lakes Plastic Surgery Sc is 1346213980. It was assigned to this organization in the NPPES registry on February 13, 2006. The provider is also known as Jeffrey A Herold MD.

Q: What is Great Lakes Plastic Surgery Sc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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About Jeffrey A Herold Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY A HEROLD MD (NPI 1346213980) is a healthcare organization registered as a plastic surgery in Sheboygan, Wisconsin and active in the NPI registry since February 2006. The organization lists Jeffrey A Herold, Plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1346213980

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameGREAT LAKES PLASTIC SURGERY SC

Location Address1526 N TAYLOR DRSheboygan, WI 53081-1927

Mailing Address1526 N Taylor DrSheboygan, WI 53081-1927 · (920) 803-1598 · Fax (920) 803-1599

Phone(920) 803-1598

Fax(920) 803-1599

Organization SubpartNo

Authorized OfficialJeffrey A HeroldPlastic Surgeon · (920) 803-1598

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJanuary 11, 2010

✔ NPI 1346213980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in WI · 39578020

Definition

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.

1526 N TAYLOR DR, Sheboygan, WI 53081

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Other Names 1

Other NameJeffrey A Herold Md

Other Identifiers 4

Medicare ID-Type Unspecified000060161WI

Medicare UPING75060

Medicare ID-Type Unspecified000060300WI

Medicaid32429800WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY J SHOLTEN FIRST ASSIST

Specialist/Technologist, Other (Surgical Assistant)