AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY,PLLC (NPI# 1659324648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659324648 |
| Entity Type | Organization |
| Organization Name | AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY,PLLC |
| Practice Address |
2304 Wesvill Ct # 360 Raleigh NC 27607-2973 |
| Practice Telephone | 9197851220 |
| Practice Fax Number | 9197851205 |
| Mailing Telephone | 9197851220 |
| Mailing Fax Number | 9197851205 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-10-20 |
| Authorized Official Name | MS. MARYANN M DAVIS (PRACTICE MANAGER) |
| Authorized Official Telephone | 9197851220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 31126 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8927438 | 05 |
| Street Address |
2304 WESVILL CT # 360 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474268 | Laurie May Marston | Obstetrics & Gynecology | 2304 Wesvill Ct, Ste 210, Raleigh, NC 27607-2973 | 2005-08-12 |
| 1881205276 | Terri Lewellen Robinson | Physician Assistant | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2020-08-11 |
| 1538410683 | Diane S Tilley | Nurse Practitioner | 2304 Wesvill Ct, Suite 240, Raleigh, NC 27607-2973 | 2012-09-28 |
| 1063721223 | John Andrew Bullington | Nurse Practitioner | 2304 Wesvill Ct, Suite 240, Raleigh, NC 27607-2973 | 2010-10-05 |
| 1023342938 | Nisha Thannikkary Manickam | Internal Medicine | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2009-09-24 |
| 1215179247 | Jay Christopher Sellers | Internal Medicine | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2009-04-06 |
| 1639334550 | Priti Panjak Patwari | Internal Medicine | 2304 Wesvill Ct, Ste 240, Raleigh, NC 27607-2973 | 2008-07-21 |
| 1073794921 | Glenn M Davis | Specialist | 2304 Wesvill Ct, # 360, Raleigh, NC 27607-2973 | 2007-11-20 |
| 1245410901 | Jeremy W Pyle | Plastic Surgery | 2304 Wesvill Ct, Suite 360, Raleigh, NC 27607-2973 | 2007-11-11 |
| 1861680928 | Benjamin Chadwick Wood | Surgery | 2304 Wesvill Ct, Suite 360, Raleigh, NC 27607-0058 | 2007-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
| 1629540323 | Sieara Kearney | Specialist | 5503 Metedeconk Ln, Raleigh, NC 27604-5404 | 2018-12-19 |
| 1821480872 | Sharon Hahn | Specialist | 6728 Eastbrook Dr, Raleigh, NC 27615-7309 | 2015-02-27 |
| 1184030611 | Life Without Limits Coaching and Counseling Pllc | Specialist | 841 Oxen Cir, Raleigh, NC 27603-9165 | 2014-07-04 |
| 1083029383 | Village Hands Foundation | Specialist | 5808 Departure Dr Ste 101, Raleigh, NC 27616-1934 | 2014-06-25 |
| 1346584620 | Danielle Blackwell | Specialist | 723 Saint Marys St, Raleigh, NC 27605-1424 | 2012-11-27 |
| 1053686113 | Duraleigh Gynecology Pa | Specialist | 2800 Blue Ridge Rd Ste 210, Raleigh, NC 27607-6477 | 2012-03-21 |
| 1578831541 | Christopher Mcclain | Specialist | 1630 Claiborne Ct, Raleigh, NC 27606-4603 | 2011-12-06 |
| 1720366610 | Bonny Reid | Specialist | 3122 Tanager St, Raleigh, NC 27606-3641 | 2011-07-27 |
| 1619276318 | Wakehealth Medical Group, Pa. | Specialist | 13200 New Falls of Neuse Rd, Ste 113, Raleigh, NC 27614-8239 | 2011-03-21 |
| 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.