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NORTHSHORE PLASTIC SURGERY, LLC
NPI 1548268535
Surgery - Plastic and Reconstructive Surgery in Peabody, MA

Active since July 13, 2005
4 CENTENNIAL DR, STE 102, PEABODY, MA 01960(978) 531-6966(978) 531-2221 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Northshore Plastic Surgery, Llc NPPES

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

NORTHSHORE PLASTIC SURGERY, LLC (NPI 1548268535) is a healthcare organization registered as a plastic and reconstructive surgery in Peabody, Massachusetts and active in the NPI registry since July 2005. The organization lists David J Wages, President, as its authorized official.

NPPES Registry Identity

NPI1548268535
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameNORTHSHORE PLASTIC SURGERY, LLC
Location Address4 CENTENNIAL DR, STE 102Peabody, MA 01960-7935
Mailing Address340 Main St, Ste. 670Worcester, MA 01608-1604 · (508) 754-3566 · Fax (508) 798-8012
Phone(978) 531-6966
Fax(978) 531-2221
Organization SubpartNo
Authorized OfficialDavid J WagesPresident · (978) 531-6966
Enumeration DateJuly 13, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1548268535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4 CENTENNIAL DR, Peabody, MA 01960
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Other Identifiers 1

Medicaid9707573MA

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 20

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

DR. MARGARET ANN ROBINSON D.O.
Physical Medicine & Rehabilitation
4 CENTENNIAL DR, SUITE 204
PEABODY, MA 01960
Essex County (978) 977-0787
DR. JONATHAN R PERRYMAN M.D.
Orthopaedic Surgery (Sports Medicine)
4 CENTENNIAL DR, SUITE 201
PEABODY, MA 01960
Essex County (978) 531-0800
ANAESTHESIA ASSOCIATES OF MASSACHUSETTS, PC
Anesthesiology
4 CENTENNIAL DR, SUITE 202
PEABODY, MA 01960
Essex County (978) 531-0550
DR. JASON DAVID ARCHIBALD M.D.
Orthopaedic Surgery
4 CENTENNIAL DR, SUITE 201
PEABODY, MA 01960
Essex County (978) 531-0800
JAMES POULIN PA
Orthopaedic Surgery
4 CENTENNIAL DR, SUITE 201
PEABODY, MA 01960
Essex County (978) 531-0800
MS. KIMBERLY I VERRIER NP
Nurse Practitioner (Family)
4 CENTENNIAL DR, SUITE 201
PEABODY, MA 01960
Essex County (978) 531-0800
MRS. SHEILA MARIE BUTLER N.P.
Nurse Practitioner (Family)
4 CENTENNIAL DR, SUITE 204
PEABODY, MA 01960
Essex County (978) 977-0351
DR. WILLIAM J MURZIC M.D.
Orthopaedic Surgery
4 CENTENNIAL DR
PEABODY, MA 01960
Essex County (978) 531-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northshore Plastic Surgery, LLC's NPI number?

The NPI number for Northshore Plastic Surgery, LLC is 1548268535. It was assigned to this organization in the NPPES registry on July 13, 2005.

Where is Northshore Plastic Surgery, LLC located?

Northshore Plastic Surgery, LLC is located at 4 Centennial Dr Ste 102, Peabody, MA 01960. The listed phone number is (978) 531-6966.

What is Northshore Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Northshore Plastic Surgery, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.