# Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers in California

Page 1 of 1

- [ABBY GROSS](https://www.stedi.com/npi-registry/npis/1861569782.md) — NPI 1861569782, Individual, Active
- [ADAM MARVIN](https://www.stedi.com/npi-registry/npis/1275528572.md) — NPI 1275528572, Individual, Active
- [ADRIAN HOUSE](https://www.stedi.com/npi-registry/npis/1588028021.md) — NPI 1588028021, Individual, Active
- [ADVANCED ENT - HEAD & NECK SURGERY, PC.](https://www.stedi.com/npi-registry/npis/1487099156.md) — NPI 1487099156, Organization, Active
- [ALEX BATTAGLIA](https://www.stedi.com/npi-registry/npis/1457410037.md) — NPI 1457410037, Individual, Active
- [ALEXIS D FURZE MD INC](https://www.stedi.com/npi-registry/npis/1417227802.md) — NPI 1417227802, Organization, Active
- [ALLEN HWANG](https://www.stedi.com/npi-registry/npis/1164599072.md) — NPI 1164599072, Individual, Active
- [ALMA SUEHIRO-CAMPA](https://www.stedi.com/npi-registry/npis/1205984176.md) — NPI 1205984176, Individual, Active
- [ALVIN REITER](https://www.stedi.com/npi-registry/npis/1326051657.md) — NPI 1326051657, Individual, Active
- [ANDREW BERMAN](https://www.stedi.com/npi-registry/npis/1427172709.md) — NPI 1427172709, Individual, Active
- [ANDREW PICHLER](https://www.stedi.com/npi-registry/npis/1083798797.md) — NPI 1083798797, Individual, Active
- [ANN MARIE VISOSKY](https://www.stedi.com/npi-registry/npis/1245413103.md) — NPI 1245413103, Individual, Active
- [ANNETTE LUETZOW](https://www.stedi.com/npi-registry/npis/1356412332.md) — NPI 1356412332, Individual, Active
- [ARTHUR FENN](https://www.stedi.com/npi-registry/npis/1043378409.md) — NPI 1043378409, Individual, Active
- [BABAK JAHAN-PARWAR](https://www.stedi.com/npi-registry/npis/1942358775.md) — NPI 1942358775, Individual, Active
- [BARRY LEVIN](https://www.stedi.com/npi-registry/npis/1962550947.md) — NPI 1962550947, Individual, Active
- [BENJAMIN SWARTOUT](https://www.stedi.com/npi-registry/npis/1609989334.md) — NPI 1609989334, Individual, Active
- [BENJAMIN WALLINE](https://www.stedi.com/npi-registry/npis/1073707212.md) — NPI 1073707212, Individual, Active
- [BERNARD WEINSTOCK](https://www.stedi.com/npi-registry/npis/1114939568.md) — NPI 1114939568, Individual, Active
- [BEVERLY HILLS HEAD AND NECK GROUP](https://www.stedi.com/npi-registry/npis/1851800486.md) — NPI 1851800486, Organization, Active
- [BOHDAN MAKAREWYCZ](https://www.stedi.com/npi-registry/npis/1326032830.md) — NPI 1326032830, Individual, Active
- [BRIAN KIM](https://www.stedi.com/npi-registry/npis/1225109127.md) — NPI 1225109127, Individual, Active
- [BRUCE EDENS](https://www.stedi.com/npi-registry/npis/1699842583.md) — NPI 1699842583, Individual, Active
- [CALIFORNIA ENT FACIAL PLASTICS INSTITUTE INC](https://www.stedi.com/npi-registry/npis/1720427107.md) — NPI 1720427107, Organization, Active
- [CAMILLE HUWYLER](https://www.stedi.com/npi-registry/npis/1407387467.md) — NPI 1407387467, Individual, Active
- [CHASE LAY MD & ASSOCIATES INC](https://www.stedi.com/npi-registry/npis/1659708113.md) — NPI 1659708113, Organization, Active
- [CHENG MEDICAL CORP](https://www.stedi.com/npi-registry/npis/1780129494.md) — NPI 1780129494, Organization, Active
- [CHRISTOPHER LOLACHI](https://www.stedi.com/npi-registry/npis/1013084037.md) — NPI 1013084037, Individual, Active
- [CHRISTOPHER PIVIK](https://www.stedi.com/npi-registry/npis/1962579961.md) — NPI 1962579961, Individual, Active
- [CHRISTOPHER TRENT](https://www.stedi.com/npi-registry/npis/1104993922.md) — NPI 1104993922, Individual, Active
- [CHUMNONG CHANTRA](https://www.stedi.com/npi-registry/npis/1356412258.md) — NPI 1356412258, Individual, Active
- [CONG RAN](https://www.stedi.com/npi-registry/npis/1194110700.md) — NPI 1194110700, Individual, Active
- [CRAIG INGBER](https://www.stedi.com/npi-registry/npis/1326115320.md) — NPI 1326115320, Individual, Active
- [CRISTETA LOZON](https://www.stedi.com/npi-registry/npis/1427125236.md) — NPI 1427125236, Individual, Active
- [DALE RICE](https://www.stedi.com/npi-registry/npis/1215962956.md) — NPI 1215962956, Individual, Active
- [DANA PETERSEN](https://www.stedi.com/npi-registry/npis/1568783470.md) — NPI 1568783470, Individual, Active
- [DANIEL LEE](https://www.stedi.com/npi-registry/npis/1225105059.md) — NPI 1225105059, Individual, Active
- [DAVID AROESTY](https://www.stedi.com/npi-registry/npis/1740345503.md) — NPI 1740345503, Individual, Active
- [DAVID CHENG](https://www.stedi.com/npi-registry/npis/1003964065.md) — NPI 1003964065, Individual, Active
- [DAVID CONRAD](https://www.stedi.com/npi-registry/npis/1952546384.md) — NPI 1952546384, Individual, Active
- [DAVID KESCHNER](https://www.stedi.com/npi-registry/npis/1346311255.md) — NPI 1346311255, Individual, Active
- [DAVID LONDO](https://www.stedi.com/npi-registry/npis/1518082015.md) — NPI 1518082015, Individual, Active
- [DAVID SELTZER](https://www.stedi.com/npi-registry/npis/1154345494.md) — NPI 1154345494, Individual, Active
- [DEBORAH J FREEHLING INC](https://www.stedi.com/npi-registry/npis/1831249077.md) — NPI 1831249077, Organization, Active
- [DENISE DRU](https://www.stedi.com/npi-registry/npis/1548329154.md) — NPI 1548329154, Individual, Active
- [DENNIS CROCKETT](https://www.stedi.com/npi-registry/npis/1356362800.md) — NPI 1356362800, Individual, Active
- [DENNIS MACERI](https://www.stedi.com/npi-registry/npis/1649297359.md) — NPI 1649297359, Individual, Active
- [DONALD CARTER](https://www.stedi.com/npi-registry/npis/1083634364.md) — NPI 1083634364, Individual, Active
- [DONALD PEREZ](https://www.stedi.com/npi-registry/npis/1750458584.md) — NPI 1750458584, Individual, Active
- [DR.ZAIN KADRI PLASTIC SURGERY, PC](https://www.stedi.com/npi-registry/npis/1003442815.md) — NPI 1003442815, Organization, Active
- [EDWARD WANG](https://www.stedi.com/npi-registry/npis/1740357672.md) — NPI 1740357672, Individual, Active
- [ENT SPECIALISTS OF ORANGE COUNTY, INC.](https://www.stedi.com/npi-registry/npis/1538678867.md) — NPI 1538678867, Organization, Active
- [ERIKA HO](https://www.stedi.com/npi-registry/npis/1326573593.md) — NPI 1326573593, Individual, Active
- [ERIN SIMMS](https://www.stedi.com/npi-registry/npis/1588735476.md) — NPI 1588735476, Individual, Active
- [ESRAFIL ABEDI M D A PROFESSIONAL CORPORATION](https://www.stedi.com/npi-registry/npis/1447500269.md) — NPI 1447500269, Organization, Active
- [EUGENE SNISSARENKO](https://www.stedi.com/npi-registry/npis/1699974139.md) — NPI 1699974139, Individual, Active
- [FREDERIC DI TIRRO](https://www.stedi.com/npi-registry/npis/1982775912.md) — NPI 1982775912, Individual, Active
- [GABRIEL CALZADA](https://www.stedi.com/npi-registry/npis/1508016940.md) — NPI 1508016940, Individual, Active
- [GABRIEL GABARAIN](https://www.stedi.com/npi-registry/npis/1184971194.md) — NPI 1184971194, Individual, Active
- [GARY BELLACK](https://www.stedi.com/npi-registry/npis/1750442448.md) — NPI 1750442448, Individual, Active
- [GARY FEINBERG](https://www.stedi.com/npi-registry/npis/1730187881.md) — NPI 1730187881, Individual, Active
- [GARY M. FEINBERG ENT, INC.](https://www.stedi.com/npi-registry/npis/1194145771.md) — NPI 1194145771, Organization, Active
- [GEOFFREY SMITH](https://www.stedi.com/npi-registry/npis/1568664548.md) — NPI 1568664548, Individual, Active
- [GEORGE LIU](https://www.stedi.com/npi-registry/npis/1922175843.md) — NPI 1922175843, Individual, Active
- [GIDUMAL MD PC](https://www.stedi.com/npi-registry/npis/1851218259.md) — NPI 1851218259, Organization, Active
- [GUIOMAR IRIARTE](https://www.stedi.com/npi-registry/npis/1447327325.md) — NPI 1447327325, Individual, Active
- [HAROLD CHOW](https://www.stedi.com/npi-registry/npis/1164593190.md) — NPI 1164593190, Individual, Active
- [HARRY SCHWARTZ](https://www.stedi.com/npi-registry/npis/1851462832.md) — NPI 1851462832, Individual, Active
- [HERSHCOVITCH MD PC](https://www.stedi.com/npi-registry/npis/1144989401.md) — NPI 1144989401, Organization, Active
- [JAMES A HEINRICH M D INC](https://www.stedi.com/npi-registry/npis/1386954030.md) — NPI 1386954030, Organization, Active
- [JAMES HEINRICH](https://www.stedi.com/npi-registry/npis/1053321000.md) — NPI 1053321000, Individual, Active
- [JAMES ODDIE](https://www.stedi.com/npi-registry/npis/1740357763.md) — NPI 1740357763, Individual, Active
- [JAMES WU](https://www.stedi.com/npi-registry/npis/1720070113.md) — NPI 1720070113, Individual, Active
- [JASON CHAU](https://www.stedi.com/npi-registry/npis/1316176852.md) — NPI 1316176852, Individual, Active
- [JEANNE SHEPHERD](https://www.stedi.com/npi-registry/npis/1689741563.md) — NPI 1689741563, Individual, Active
- [JEFFERY BROFFMAN](https://www.stedi.com/npi-registry/npis/1659543247.md) — NPI 1659543247, Individual, Active
- [JIVIANNE LEE](https://www.stedi.com/npi-registry/npis/1184772972.md) — NPI 1184772972, Individual, Active
- [JOHN LIM](https://www.stedi.com/npi-registry/npis/1528139417.md) — NPI 1528139417, Individual, Active
- [JOHN MAYENO](https://www.stedi.com/npi-registry/npis/1609943828.md) — NPI 1609943828, Individual, Active
- [JOHN MCGUIRE](https://www.stedi.com/npi-registry/npis/1114106689.md) — NPI 1114106689, Individual, Active
- [JOHN NGUYEN](https://www.stedi.com/npi-registry/npis/1588712525.md) — NPI 1588712525, Individual, Active
- [JOHN RAMSAY](https://www.stedi.com/npi-registry/npis/1992853717.md) — NPI 1992853717, Individual, Active
- [JOHN RYAN](https://www.stedi.com/npi-registry/npis/1518402676.md) — NPI 1518402676, Individual, Active
- [JON MALLEN-ST. CLAIR](https://www.stedi.com/npi-registry/npis/1134410038.md) — NPI 1134410038, Individual, Active
- [JU KIM](https://www.stedi.com/npi-registry/npis/1548318413.md) — NPI 1548318413, Individual, Active
- [JUAN MOSCOSO](https://www.stedi.com/npi-registry/npis/1710046396.md) — NPI 1710046396, Individual, Active
- [JUDY LIU](https://www.stedi.com/npi-registry/npis/1700102308.md) — NPI 1700102308, Individual, Active
- [K C SALKINDER MD, INC](https://www.stedi.com/npi-registry/npis/1033411970.md) — NPI 1033411970, Organization, Active
- [KANIFF COSMETIC MEDICAL CENTER, INC](https://www.stedi.com/npi-registry/npis/1669515862.md) — NPI 1669515862, Organization, Active
- [KESENEE CHAIYAPHRUK](https://www.stedi.com/npi-registry/npis/1255483624.md) — NPI 1255483624, Individual, Active
- [KONSTANTIN SALKINDER](https://www.stedi.com/npi-registry/npis/1114992815.md) — NPI 1114992815, Individual, Active
- [KRUPAL PATEL](https://www.stedi.com/npi-registry/npis/1457882821.md) — NPI 1457882821, Individual, Active
- [KWANG HONG](https://www.stedi.com/npi-registry/npis/1063613941.md) — NPI 1063613941, Individual, Active
- [LAURIE SCHWEITZER](https://www.stedi.com/npi-registry/npis/1629153598.md) — NPI 1629153598, Individual, Active
- [LOUIS BRENNAN](https://www.stedi.com/npi-registry/npis/1154636769.md) — NPI 1154636769, Individual, Active
- [MANISH PATEL](https://www.stedi.com/npi-registry/npis/1356400097.md) — NPI 1356400097, Individual, Active
- [MANU GUJRATI](https://www.stedi.com/npi-registry/npis/1720230451.md) — NPI 1720230451, Individual, Active
- [MARC KLAU](https://www.stedi.com/npi-registry/npis/1518015452.md) — NPI 1518015452, Individual, Active
- [MARC WEISS](https://www.stedi.com/npi-registry/npis/1679640551.md) — NPI 1679640551, Individual, Active
- [MARK SEGAL](https://www.stedi.com/npi-registry/npis/1942377767.md) — NPI 1942377767, Individual, Active
- [MARK SWANSON](https://www.stedi.com/npi-registry/npis/1821349440.md) — NPI 1821349440, Individual, Active
- [MEIR HERSHCOVITCH](https://www.stedi.com/npi-registry/npis/1427283340.md) — NPI 1427283340, Individual, Active
- [MICHAEL CHOW](https://www.stedi.com/npi-registry/npis/1700349958.md) — NPI 1700349958, Individual, Active
- [MICHAEL KIM](https://www.stedi.com/npi-registry/npis/1437198678.md) — NPI 1437198678, Individual, Active
- [MICHAEL MC NICOLL](https://www.stedi.com/npi-registry/npis/1609943513.md) — NPI 1609943513, Individual, Active
- [MICHAEL MERRIN](https://www.stedi.com/npi-registry/npis/1194719633.md) — NPI 1194719633, Individual, Active
- [MONA SHETE](https://www.stedi.com/npi-registry/npis/1265736607.md) — NPI 1265736607, Individual, Active
- [NANCY WANG](https://www.stedi.com/npi-registry/npis/1013337492.md) — NPI 1013337492, Individual, Active
- [NGON DINH](https://www.stedi.com/npi-registry/npis/1730156027.md) — NPI 1730156027, Individual, Active
- [NGON HOANG DINH DO A PROFESSIONAL CORPORATION](https://www.stedi.com/npi-registry/npis/1013065473.md) — NPI 1013065473, Organization, Active
- [NICHOLAS OBERLIES](https://www.stedi.com/npi-registry/npis/1639745029.md) — NPI 1639745029, Individual, Active
- [NINA J LEE TALL MD INC](https://www.stedi.com/npi-registry/npis/1215020292.md) — NPI 1215020292, Organization, Active
- [NINA LEE-TALL](https://www.stedi.com/npi-registry/npis/1821029794.md) — NPI 1821029794, Individual, Active
- [NORTH COUNTY ENT MEDICAL GROUP](https://www.stedi.com/npi-registry/npis/1689907040.md) — NPI 1689907040, Organization, Active
- [NOUBAR OUZOUNIAN](https://www.stedi.com/npi-registry/npis/1669549515.md) — NPI 1669549515, Individual, Active
- [ORRIN TERRY](https://www.stedi.com/npi-registry/npis/1346311230.md) — NPI 1346311230, Individual, Active
- [OTHELLA OWENS](https://www.stedi.com/npi-registry/npis/1033138110.md) — NPI 1033138110, Individual, Active
- [PATRICK CARPENTER](https://www.stedi.com/npi-registry/npis/1154718179.md) — NPI 1154718179, Individual, Active
- [PAUL BERNSTEIN](https://www.stedi.com/npi-registry/npis/1841367737.md) — NPI 1841367737, Individual, Active
- [PAUL SURAPOL](https://www.stedi.com/npi-registry/npis/1710035654.md) — NPI 1710035654, Individual, Active
- [PAULA RODGERS](https://www.stedi.com/npi-registry/npis/1164570131.md) — NPI 1164570131, Individual, Active
- [PENINSULA HEAD & NECK SURGERY,INC](https://www.stedi.com/npi-registry/npis/1134342215.md) — NPI 1134342215, Organization, Active
- [PETER MARTIN](https://www.stedi.com/npi-registry/npis/1801944897.md) — NPI 1801944897, Individual, Active
- [PYONG KIM](https://www.stedi.com/npi-registry/npis/1104993096.md) — NPI 1104993096, Individual, Active
- [RAHUL SETH](https://www.stedi.com/npi-registry/npis/1073784682.md) — NPI 1073784682, Individual, Active
- [RAJESH CHOPRA](https://www.stedi.com/npi-registry/npis/1558395590.md) — NPI 1558395590, Individual, Active
- [RANDAL SCHOEMAN](https://www.stedi.com/npi-registry/npis/1689745507.md) — NPI 1689745507, Individual, Active
- [RANDALL G. MICHEL, M.D., A MEDICAL CORPORATION](https://www.stedi.com/npi-registry/npis/1477634178.md) — NPI 1477634178, Organization, Active
- [RANDALL MICHEL](https://www.stedi.com/npi-registry/npis/1225062623.md) — NPI 1225062623, Individual, Active
- [RAOUF F ISKANDER MD INC](https://www.stedi.com/npi-registry/npis/1952386781.md) — NPI 1952386781, Organization, Active
- [RAYMUND J. LLAURADO, MD, INC.](https://www.stedi.com/npi-registry/npis/1457539868.md) — NPI 1457539868, Organization, Active
- [RAYMUND LLAURADO](https://www.stedi.com/npi-registry/npis/1093871725.md) — NPI 1093871725, Individual, Active
- [RESURGENT HEAD AND NECK SURGEONS, INC.](https://www.stedi.com/npi-registry/npis/1922613207.md) — NPI 1922613207, Organization, Active
- [RHONDA LUBKA](https://www.stedi.com/npi-registry/npis/1720159791.md) — NPI 1720159791, Individual, Active
- [RICHARD GALICH](https://www.stedi.com/npi-registry/npis/1649260803.md) — NPI 1649260803, Individual, Active
- [RICHARD RAJARATNAM](https://www.stedi.com/npi-registry/npis/1679640403.md) — NPI 1679640403, Individual, Active
- [ROBERTO CUEVA](https://www.stedi.com/npi-registry/npis/1497814024.md) — NPI 1497814024, Individual, Active
- [RONALD HEBARD](https://www.stedi.com/npi-registry/npis/1467529305.md) — NPI 1467529305, Individual, Active
- [RONALD KOCH](https://www.stedi.com/npi-registry/npis/1568876142.md) — NPI 1568876142, Individual, Active
- [RONALD RUBENSTEIN](https://www.stedi.com/npi-registry/npis/1467568105.md) — NPI 1467568105, Individual, Active
- [RONALDO BALLECER](https://www.stedi.com/npi-registry/npis/1194941641.md) — NPI 1194941641, Individual, Active
- [SARAH AKKINA](https://www.stedi.com/npi-registry/npis/1467847467.md) — NPI 1467847467, Individual, Active
- [SASSAN ALAVI](https://www.stedi.com/npi-registry/npis/1023170131.md) — NPI 1023170131, Individual, Active
- [SCOTT HONG](https://www.stedi.com/npi-registry/npis/1952891871.md) — NPI 1952891871, Individual, Active
- [SENG CHIOU](https://www.stedi.com/npi-registry/npis/1841361722.md) — NPI 1841361722, Individual, Active
- [SHAMIT CHOPRA](https://www.stedi.com/npi-registry/npis/1831319326.md) — NPI 1831319326, Individual, Active
- [SHELLEY HILL](https://www.stedi.com/npi-registry/npis/1073662359.md) — NPI 1073662359, Individual, Active
- [SHIN-FU HSU MD A PC](https://www.stedi.com/npi-registry/npis/1740384353.md) — NPI 1740384353, Organization, Active
- [SHOAB SIDDIQUE](https://www.stedi.com/npi-registry/npis/1972614436.md) — NPI 1972614436, Individual, Active
- [SOFER MEDICAL CORPORATION](https://www.stedi.com/npi-registry/npis/1255985594.md) — NPI 1255985594, Organization, Active
- [STEPHEN GUGENHEIM](https://www.stedi.com/npi-registry/npis/1174501340.md) — NPI 1174501340, Individual, Active
- [STEPHEN SALTZMAN](https://www.stedi.com/npi-registry/npis/1710035704.md) — NPI 1710035704, Individual, Active
- [STEVEN SLOAN](https://www.stedi.com/npi-registry/npis/1932191285.md) — NPI 1932191285, Individual, Active
- [TANIA BENJAMIN](https://www.stedi.com/npi-registry/npis/1093276131.md) — NPI 1093276131, Individual, Active
- [TASIA ECONOMOU](https://www.stedi.com/npi-registry/npis/1811045891.md) — NPI 1811045891, Individual, Active
- [TERESA PUSHECK](https://www.stedi.com/npi-registry/npis/1740357680.md) — NPI 1740357680, Individual, Active
- [TERRY FLECK](https://www.stedi.com/npi-registry/npis/1689846388.md) — NPI 1689846388, Individual, Active
- [TERRY PERKINS](https://www.stedi.com/npi-registry/npis/1912445438.md) — NPI 1912445438, Individual, Active
- [TERRY SHIBUYA](https://www.stedi.com/npi-registry/npis/1952460529.md) — NPI 1952460529, Individual, Active
- [THOMAS KANIFF](https://www.stedi.com/npi-registry/npis/1669700712.md) — NPI 1669700712, Individual, Active
- [TIMOTHY WHEELER](https://www.stedi.com/npi-registry/npis/1609943620.md) — NPI 1609943620, Individual, Active
- [TODD BROBERG](https://www.stedi.com/npi-registry/npis/1174682777.md) — NPI 1174682777, Individual, Active
- [TRUESDALE FACIAL PLASTIC SURGERY INC](https://www.stedi.com/npi-registry/npis/1639843113.md) — NPI 1639843113, Organization, Active
- [USC HEAD & NECK GROUP, INC](https://www.stedi.com/npi-registry/npis/1922018977.md) — NPI 1922018977, Organization, Active
- [VICTOR SCHORN](https://www.stedi.com/npi-registry/npis/1558432518.md) — NPI 1558432518, Individual, Active
- [VINCENT CHEN](https://www.stedi.com/npi-registry/npis/1962562165.md) — NPI 1962562165, Individual, Active
- [VISHWAS TADWALKAR](https://www.stedi.com/npi-registry/npis/1437226248.md) — NPI 1437226248, Individual, Active
- [WARREN LINE](https://www.stedi.com/npi-registry/npis/1205918588.md) — NPI 1205918588, Individual, Active
- [WESLEY LOW](https://www.stedi.com/npi-registry/npis/1750439600.md) — NPI 1750439600, Individual, Active
- [WILLIAM HALSEY](https://www.stedi.com/npi-registry/npis/1679544472.md) — NPI 1679544472, Individual, Active
- [WILLIAM RYAN](https://www.stedi.com/npi-registry/npis/1184811549.md) — NPI 1184811549, Individual, Active
- [YARAH HAIDAR](https://www.stedi.com/npi-registry/npis/1851736235.md) — NPI 1851736235, Individual, Active
- [YING HSIEH](https://www.stedi.com/npi-registry/npis/1023185980.md) — NPI 1023185980, Individual, Active
- [YOHANAN KIM](https://www.stedi.com/npi-registry/npis/1265965339.md) — NPI 1265965339, Individual, Active
- [YOUNG OH](https://www.stedi.com/npi-registry/npis/1679621585.md) — NPI 1679621585, Individual, Active
- [YURO BERKOVIC](https://www.stedi.com/npi-registry/npis/1619102191.md) — NPI 1619102191, Individual, Active
- [ZEV KAHN](https://www.stedi.com/npi-registry/npis/1356310502.md) — NPI 1356310502, Individual, Active