WAKE PLASTIC SURGERY, PLLC (NPI# 1316101876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316101876 |
| Entity Type | Organization |
| Organization Name | WAKE PLASTIC SURGERY, PLLC |
| Practice Address |
300 Keisler Dr Suite 102 Cary NC 27518-7083 |
| Mailing Address |
1820 Crossroads Vista Dr Apartment #203 Raleigh NC 27606-4199 |
| Practice Telephone | 9198053441 |
| Practice Fax Number | 9198692277 |
| Mailing Telephone | 9196000743 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | WILLIAM TODD STOECKEL (PLASTIC SURGEON) |
| Authorized Official Telephone | 9196000743 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
200701681 | NC | Ambulatory Health Care Facilities |
| Street Address |
300 KEISLER DR SUITE 102 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561369 | Priyavadan Maneklal Shah | Internal Medicine | 300 Keisler Dr, Suite 204, Cary, NC 27511-7083 | 2005-10-07 |
| 1073121265 | Laiby Boban | Nurse Practitioner | 300 Keisler Dr, Cary, NC 27518-7083 | 2020-07-14 |
| 1811522089 | Wakemed Specialists Group LLC | Internal Medicine | 300 Keisler Dr, Cary, NC 27518-7083 | 2020-03-09 |
| 1104200815 | Heather Santori | Nurse Practitioner | 300 Keisler Dr, Cary, NC 27518-7083 | 2015-07-13 |
| 1558772574 | Wake Specialty Physicians,llc | Internal Medicine | 300 Keisler Dr, Cary, NC 27518-7083 | 2014-05-13 |
| 1891130415 | Sarah Willis Tiesing | Nurse Practitioner | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2013-05-09 |
| 1053559641 | Michelle Lyn Kuerbitz | Nurse Practitioner | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2009-02-04 |
| 1255578415 | Cary Cardiology Associates | Non-Pharmacy Dispensing Site | 300 Keisler Dr, 200, Cary, NC 27518-7083 | 2009-01-09 |
| 1629240395 | Pavlo I Netrebko | Internal Medicine | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2008-04-02 |
| 1477734077 | William Todd Stoeckel | Plastic Surgery | 300 Keisler Dr, Suite 102, Cary, NC 27518-7083 | 2007-11-25 |
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| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
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| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
| 1881141679 | Elite Hands Physician Assistant Services, Pllc | Clinic/Center | 160 Macgregor Pines Dr Ste 310, Cary, NC 27511-6037 | 2016-09-08 |
| 1548560600 | Rex Surgery Center of Cary LLC | Clinic/Center | 1505 Sw Cary Pkwy, Suite 100, Cary, NC 27511-6219 | 2010-10-23 |
| 1952518029 | Raleigh Nc Endoscopy Asc LLC | Clinic/Center | 1505 Sw Cary Parkway, Suite 202, Cary, NC 27511 | 2007-05-17 |
| 1053527747 | Massaro Surgical, Ltd | Clinic/Center | 113 W Main St, Cary, IL 60013-2718 | 2007-05-16 |
| 1326001819 | Center for Digestive Diseases and Cary Endoscopy Center, PC | Clinic/Center | 1120 Se Cary Pkwy, Suite 204, Cary, NC 27518 | 2006-04-07 |
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| 1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.