HILLSTROM FACIAL PLASTIC SURGERY PA – NPI #1104051978
Plastic Surgery

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Health Care Provider Taxonomy Code for Plastic Surgery

HILLSTROM FACIAL PLASTIC SURGERY PA is a plastic surgeon located in LAKEWOOD RANCH, FL. NPPES has assigned the NPI number 1104051978 to HILLSTROM FACIAL PLASTIC SURGERY PA on May 22, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2082S0099X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck

The NPI profile was last updated on Oct 13, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HILLSTROM FACIAL PLASTIC SURGERY PA below.

NPI Profile for
HILLSTROM FACIAL PLASTIC SURGERY PA

NPI Number
1104051978
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HILLSTROM FACIAL PLASTIC SURGERY PA
Primary location
6310 HEALTH PARK WAY STE 110
LAKEWOOD RANCH, FL 34202-5177
Phone: (941) 355-3223 Fax: (941) 358-9749
Mailing address
BOX 195
8374 MARKET STREET
BRADENTON, FL 34202-5137
Phone: (941) 355-3223 Fax: (941) 358-9749
Organization Subpart
No
Authorized Official
HARRY WRIGHT
PRESIDENT
Phone: (941) 355-3223
Updated
Certification Date
Oct 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HILLSTROM FACIAL PLASTIC SURGERY PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherRAILROADFLP00078356
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck (Primary)		 FL ME54913
207Y00000X
- Otolaryngology		 FL ME54913

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.