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THE PLASTIC & RECONSTRUCTIVE SURGERY INSTITUTE, LLC
NPI 1760748800
Plastic Surgery in Baltimore, MD

Active since April 03, 2012
5601 LOCH RAVEN BLVD, SMYTH PROFESSIONAL BLDG., SUITE 200, BALTIMORE, MD 21239(443) 687-9990(443) 740-9278 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Plastic & Reconstructive Surgery Institute, Llc NPPES

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

THE PLASTIC & RECONSTRUCTIVE SURGERY INSTITUTE, LLC (NPI 1760748800) is a healthcare organization registered as a plastic surgery in Baltimore, Maryland and active in the NPI registry since April 2012. The organization lists David Zachary Martin, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1760748800
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameTHE PLASTIC & RECONSTRUCTIVE SURGERY INSTITUTE, LLC
Location Address5601 LOCH RAVEN BLVD, SMYTH PROFESSIONAL BLDG., SUITE 200Baltimore, MD 21239-2905
Mailing Address5601 Loch Raven Blvd, Smyth Professional Bldg., Suite 200Baltimore, MD 21239-2905 · (443) 687-9990 · Fax (443) 740-9278
Phone(443) 687-9990
Fax(443) 740-9278
Organization SubpartNo
Authorized OfficialDavid Zachary MartinOwner/physician · (443) 687-9990
Enumeration DateApril 3, 2012
Last NPPES UpdateSeptember 26, 2014
✔ NPI 1760748800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MD · D0058474
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.
5601 LOCH RAVEN BLVD, Baltimore, MD 21239
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Other Identifiers 11

Other107100MD · John Hopkins - Ehp, Priority Partners, Us Family
Other1760748800MD · Aetna All Products
Other1972585206MD · Bravo
Other1760748800MD · Medstar Family Choice
OtherDS9899MD · Railroad Medicare
OtherAB87MD · Carefirst Bluecross Blueshield All Products
Other1760748800MD · Amerigroup
Other1760748800MD · United Healthcare All Products Except Americhoice
Other1760748800MD · Maryland Physicians Care
Other1188979MD · Cigna
Medicare PIN241128YHPYMD

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.

JACQUELINE L. HOOVER P.A.-C
Physician Assistant
5601 LOCH RAVEN BLVD, BALTIMORE
BALTIMORE, MD 21239
Baltimore City (443) 444-4730
DR. TIFFANI DANIELLE PITTMAN M.D.
Anesthesiology
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4863
DR. SUJAN THAPALIYA M.D.
Internal Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-0363
SHARAREH SHERRY BADRI M.D.
Internal Medicine (Geriatric Medicine)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100
ALAYNA MARIE BLAZAKIS CRNP
Nurse Practitioner
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-4275
DR. ELIAS K SHAYA M.D.
Psychiatry & Neurology (Psychiatry)
5601 LOCH RAVEN BLVD, RMB 406
BALTIMORE, MD 21239
Baltimore City (410) 532-4540
CANDICE DIOR JORDAN M.D.
Emergency Medicine
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (855) 633-5655
SONJA STANTON RN BSN
Registered Nurse (Gerontology)
5601 LOCH RAVEN BLVD
BALTIMORE, MD 21239
Baltimore City (443) 444-6100

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 The Plastic & Reconstructive Surgery Institute, LLC's NPI number?

The NPI number for The Plastic & Reconstructive Surgery Institute, LLC is 1760748800. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is The Plastic & Reconstructive Surgery Institute, LLC located?

The Plastic & Reconstructive Surgery Institute, LLC is located at 5601 Loch Raven Blvd Smyth Professional Bldg., Suite 200, Baltimore, MD 21239. The listed phone number is (443) 687-9990.

What is The Plastic & Reconstructive Surgery Institute, LLC'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 The Plastic & Reconstructive Surgery Institute, LLC was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.