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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2089775
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 08, 2025
Certificate Expiration Date
January 07, 2027
Laboratory Director
BEVERLY A. FISCHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advanced Center For Plastic Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ADVANCED CENTER FOR PLASTIC SURGERY

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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.