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FACIAL & AESTHETIC PLASTIC SURGERY CENTER, LLC
NPI 1821209909
Clinic/Center in Boardman, OH

Active since May 24, 2007
6505 MARKET ST, SUITE A103B, BOARDMAN, OH 44512(330) 758-0191(330) 726-3577 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Facial & Aesthetic Plastic Surgery Center, Llc NPPES

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

FACIAL & AESTHETIC PLASTIC SURGERY CENTER, LLC (NPI 1821209909) is a healthcare organization registered as a clinic/center in Boardman, Ohio and active in the NPI registry since May 2007. The organization lists Richard D Gentile, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1821209909
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFACIAL & AESTHETIC PLASTIC SURGERY CENTER, LLC
Location Address6505 MARKET ST, SUITE A103BBoardman, OH 44512-3457
Mailing Address6505 Market St, Suite A103bBoardman, OH 44512-3457 · (330) 758-0191 · Fax (330) 726-3577
Phone(330) 758-0191
Fax(330) 726-3577
Organization SubpartNo
Authorized OfficialRichard D GentileMedical Director · (330) 758-0191
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821209909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
6505 MARKET ST, Boardman, OH 44512
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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.

JOHN J ZAJAC CRNA
Nurse Anesthetist, Certified Registered
6505 MARKET ST, BUILDING B
BOARDMAN, OH 44512
Mahoning County (330) 758-1065
HI MOON AHN MD
Pediatrics
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 884-2425
MRS. REGINA M O'LEARY CRNP
Nurse Practitioner (Neonatal)
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 480-2363
MR. STEPHEN JOSEPH RENSCHLER
Physical Therapist (Geriatrics)
6505 MARKET ST, BUILDING D
YOUNGSTOWN, OH 44512
Mahoning County (330) 884-2329
MARISA M MANCUSO DO
Pediatrics
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 543-8178
LOGAN BRYANT ISON PT, DPT
Physical Therapist (Sports)
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 746-8100
SWARAJYA LAKSHMI PERNI MD
Radiology (Diagnostic Radiology)
6505 MARKET ST, BUILDING A SUITE 201
YOUNGSTOWN, OH 44512
Mahoning County (330) 884-2200
DR. KELSEY BROCKER PSYD
Psychologist (Clinical)
6505 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 746-8100

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 Facial & Aesthetic Plastic Surgery Center, LLC's NPI number?

The NPI number for Facial & Aesthetic Plastic Surgery Center, LLC is 1821209909. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Facial & Aesthetic Plastic Surgery Center, LLC located?

Facial & Aesthetic Plastic Surgery Center, LLC is located at 6505 Market St Suite A103b, Boardman, OH 44512. The listed phone number is (330) 758-0191.

What is Facial & Aesthetic Plastic Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Facial & Aesthetic Plastic Surgery Center, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.