ADVANCED CENTER FOR PLASTIC SURGERY
NPI 1770501330
Surgery - Plastic and Reconstructive Surgery in Timonium, MD

Active since July 18, 2006CLIA 21D2089775 · Waiver
12205 TULLAMORE RD, TIMONIUM, MD 21093(410) 308-4700(410) 308-4704 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Center For Plastic Surgery NPPES

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

ADVANCED CENTER FOR PLASTIC SURGERY (NPI 1770501330) is a healthcare organization registered as a plastic and reconstructive surgery in Timonium, Maryland and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Beverly Anne Fischer, Owner, as its authorized official.

NPPES Registry Identity

NPI1770501330
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameADVANCED CENTER FOR PLASTIC SURGERY
Location Address12205 TULLAMORE RDTimonium, MD 21093-7816
Mailing Address12205 Tullamore RdTimonium, MD 21093-7816 · (410) 308-4700 · Fax (410) 308-4704
Fax(410) 308-4704
Organization SubpartNo
Authorized OfficialBeverly Anne FischerOwner · (410) 308-4700
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 19, 2012
NPI 1770501330 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.

12205 TULLAMORE RD, Timonium, MD 21093

Other Identifiers 4

Medicare PIN181PMD
OtherE422DC · Carefirst
OtherKG04ADMD · Carefirst
OtherDE0665GA · Railroad Medicare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2089775

Advanced Center For Plastic Surgery · Timonium, MD
Active · expires Jan 7, 2027
CLIA Number21D2089775
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorBeverly A. Fischer
Laboratory Phone(410) 308-4700
Laboratory LocationAdvanced Center For Plastic Surgery12205 Tullamore Road, Timonium, MD 21093
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Ambulatory Surgical)
12205 TULLAMORE RD
TIMONIUM, MD 21093
Surgery (Plastic and Reconstructive Surgery)
12205 TULLAMORE RD
TIMONIUM, MD 21093
Anesthesiology
12205 TULLAMORE RD
TIMONIUM, MD 21093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770501330, enumerated as an "organization" on July 18, 2006.

The provider is located at 12205 TULLAMORE RD TIMONIUM, MD 21093 and the phone number is (410) 308-4700.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.