PENINSULA COSMETIC & RECONSTRUCTIVE SURGERY INC
NPI 1720398761
Plastic Surgery in Hampton, VA

Active since October 08, 2010
4000 COLISEUM DR, SUITE 110, HAMPTON, VA 23666(757) 827-8486(757) 827-8718 Get Directions Write a Review

NPPES record last updated: October 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peninsula Cosmetic & Reconstructive Surgery Inc NPPES

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

PENINSULA COSMETIC & RECONSTRUCTIVE SURGERY INC (NPI 1720398761) is a healthcare organization registered as a plastic surgery in Hampton, Virginia and active in the NPI registry since October 2010. The organization lists Mark J Kanter, Owner/ Doctor, as its authorized official.

NPPES Registry Identity

NPI1720398761
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePENINSULA COSMETIC & RECONSTRUCTIVE SURGERY INC
Location Address4000 COLISEUM DR, SUITE 110Hampton, VA 23666-5906
Mailing Address4000 Coliseum Dr, Suite 110Hampton, VA 23666-5906 · (757) 827-8486 · Fax (757) 827-8718
Fax(757) 827-8718
Organization SubpartNo
Authorized OfficialMark J KanterOwner/ Doctor · (757) 827-8486
Enumeration DateOctober 8, 2010
NPI 1720398761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in VA · 0101041391
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.
4000 COLISEUM DR, Hampton, VA 23666

Other Identifiers 2

Medicare PIN240000240VA
Medicaid6901409VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Internal Medicine
4000 COLISEUM DR, SUITE 350
HAMPTON, VA 23666
Urology
4000 COLISEUM DR, STE 300
HAMPTON, VA 23666
Psychiatry & Neurology (Neurology)
4000 COLISEUM DR, SUITE 200
HAMPTON, VA 23666
Nurse Practitioner (Obstetrics & Gynecology)
4000 COLISEUM DR, SUITE 280
HAMPTON, VA 23666
Physical Therapist
4000 COLISEUM DR, SUITE 100
HAMPTON, VA 23666
Orthopaedic Surgery
4000 COLISEUM DR, SUITE 100
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR, STE 350
HAMPTON, VA 23666
Internal Medicine
4000 COLISEUM DR, STE 445
HAMPTON, VA 23666

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 Peninsula Cosmetic & Reconstructive Surgery Inc's NPI number?

The NPI number for Peninsula Cosmetic & Reconstructive Surgery Inc is 1720398761. It was assigned to this organization in the NPPES registry on October 8, 2010.

Where is Peninsula Cosmetic & Reconstructive Surgery Inc located?

Peninsula Cosmetic & Reconstructive Surgery Inc is located at 4000 Coliseum Dr Suite 110, Hampton, VA 23666. The listed phone number is (757) 827-8486.

What is Peninsula Cosmetic & Reconstructive Surgery Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Peninsula Cosmetic & Reconstructive Surgery Inc was last updated on October 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.