CMS-1500 Box 24J / 33a • NPI
1073064382
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208200000X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery
Box 32 Service Location & ZIP+4
6705 S RED RD, SUITE 516, SOUTH MIAMI, FL, 33143-3622
✓ 9-Digit EDI 837 ZIP+4 (33143-3622)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1073064382 (A.DESROSIERS III, M.D., CORP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1073064382 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | A.DESROSIERS III, M.D., CORP |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: 208200000X (Plastic Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6705 S RED RD, SUITE 516, SOUTH MIAMI, FL, 33143-3622 |
| Practice Telephone / Fax | Tel: (305) 403-2922 | Fax: (305) 517-3130 |
| Administrative Mailing Address | 6705 S RED RD, SOUTH MIAMI, FL, 33143-3622 |
| Enumeration & Last Sync | Enumerated: 2016-10-21 | CMS Record Updated: 2016-10-21 |
| Authorized Official | ARTHUR DESROSIERS (C.E.O.) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208200000X)
What Does Taxonomy Code 208200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (A.DESROSIERS III, M.D., CORP)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2082S0105X — Plastic Surgery, Surgery of the HandPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery — Surgery of the Hand | State: FL | License: ME110935 | Primary: Secondary |
213ES0103X — Podiatrist, Foot & Ankle SurgeryPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery | State: FL | License: PO3822 | Primary: Secondary |
363AS0400X — Physician Assistant, SurgicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Surgical | State: FL | License: PA9108751 | Primary: Secondary |
208200000X — Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery | State: FL | License: ME110935 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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