NORTH RALEIGH PLASTIC SURGERY, PA (NPI# 1457983116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457983116 |
| Entity Type | Organization |
| Organization Name | NORTH RALEIGH PLASTIC SURGERY, PA |
| Practice Address |
9104 Falls of Neuse Rd Ste 204 Raleigh NC 27615-2494 |
| Mailing Address |
5802 Sentinel Dr Raleigh NC 27609-3508 |
| Practice Telephone | 9195322270 |
| Practice Fax Number | 9197064901 |
| Mailing Telephone | 9195322270 |
| Mailing Fax Number | 9197064901 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | JUAN A ORTIZ (PRESIDENT) |
| Authorized Official Telephone | 9195322270 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
9104 FALLS OF NEUSE RD STE 204 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680180 | Triangle Facial Plastic Surgery, Pllc | Otolaryngology | 9104 Falls of Neuse Rd Ste 204, Raleigh, NC 27615-2494 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841384567 | Christopher J Morea | Plastic Surgery | 7700 Lead Mine Rd, Raleigh, NC 27615-4828 | 2006-10-03 |
| 1831587435 | Glow Plastic Surgery, PC | Plastic Surgery | 10010 Falls of Neuse Rd, Suite 102, Raleigh, NC 27614-8494 | 2015-01-05 |
| 1245566090 | Lambeth Plastic Surgery & Aesthetics, Pa | Plastic Surgery | 4201 Lake Boone Trl, Ste 103, Raleigh, NC 27607-7512 | 2009-10-29 |
| 1679730907 | Matthew West Blanton | Plastic Surgery | 3633 Harden Rd, Suite 200, Raleigh, NC 27607-3369 | 2008-05-22 |
| 1245410901 | Jeremy W Pyle | Plastic Surgery | 2304 Wesvill Ct, Suite 360, Raleigh, NC 27607-2973 | 2007-11-11 |
| 1932312592 | Collins & Franklin Plastic Surgery | Plastic Surgery | 8300 Health Park, Ste 205, Raleigh, NC 27615-4731 | 2007-05-08 |
| 1285671859 | Renaissance Reconstructive & Plastic Surgery, Pa | Plastic Surgery | 2800 Blue Ridge Rd, Suite 403, Raleigh, NC 27607-6478 | 2006-06-01 |
| 1891732558 | Keelee Joy Macphee | Plastic Surgery | 4414 Lake Boone Trl, Suite 407, Raleigh, NC 27607-7513 | 2006-06-01 |
| 1972575850 | Cynthia Lyn Diehl | Plastic Surgery | 10208 Cerny St, Suite 204, Raleigh, NC 27617-7884 | 2006-02-03 |
| 1710958004 | Roger Stewart Collins | Plastic Surgery | 8300 Health Park, Ste 205, Raleigh, NC 27615-4731 | 2006-01-27 |
| Find all providers in RALEIGH | ||||
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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.