Provider Demographics
NPI:1508037797
Name:PLASTIC SURGERY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:PLASTIC SURGERY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:PILNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-645-3966
Mailing Address - Street 1:385 LEXINGTON PKWY N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4604
Mailing Address - Country:US
Mailing Address - Phone:651-645-3966
Mailing Address - Fax:
Practice Address - Street 1:385 LEXINGTON PKWY N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4604
Practice Address - Country:US
Practice Address - Phone:651-645-3966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0151781744G0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744G0900XOther Service ProvidersSpecialistGraphics DesignerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1053468785Medicare PIN