SAINT JOHNS PLASTIC SURGERY PLLC
NPI 1770427171
Plastic Surgery in Saint Augustine, FL

Active since April 16, 2026
304 ASHOURIAN AVE STE 107, SAINT AUGUSTINE, FL 32092(281) 630-1127 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Apr 16, 2026 (2 updates tracked since 2026).

About Saint Johns Plastic Surgery Pllc NPPES

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

SAINT JOHNS PLASTIC SURGERY PLLC (NPI 1770427171) is a healthcare organization registered as a plastic surgery in Saint Augustine, Florida and active in the NPI registry since April 2026. The organization lists Matthew Brett Mitchell, Member/plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1770427171
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSAINT JOHNS PLASTIC SURGERY PLLC
Location Address304 ASHOURIAN AVE STE 107Saint Augustine, FL 32092-5110
Mailing Address304 Ashourian Ave Ste 107Saint Augustine, FL 32092-5110 · (281) 630-1127
Organization SubpartNo
Authorized OfficialMatthew Brett MitchellMember/plastic Surgeon · (904) 657-4103
Enumeration DateApril 16, 2026
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1770427171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
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.
304 ASHOURIAN AVE STE 107, Saint Augustine, FL 32092

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

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

Surgery (Plastic and Reconstructive Surgery)
304 ASHOURIAN AVE STE 107
SAINT AUGUSTINE, FL 32092

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 Saint Johns Plastic Surgery PLLC's NPI number?

The NPI number for Saint Johns Plastic Surgery PLLC is 1770427171. It was assigned to this organization in the NPPES registry on April 16, 2026.

Where is Saint Johns Plastic Surgery PLLC located?

Saint Johns Plastic Surgery PLLC is located at 304 Ashourian Ave Ste 107, Saint Augustine, FL 32092. The listed phone number is (281) 630-1127.

What is Saint Johns Plastic Surgery PLLC'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 Saint Johns Plastic Surgery PLLC was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.