SOUTHPOINT PLASTIC SURGERY, PC (NPI# 1669629903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669629903 |
| Entity Type | Organization |
| Organization Name | SOUTHPOINT PLASTIC SURGERY, PC |
| Practice Address |
1415 W Nc Highway 54 Suite 105 Durham NC 27707-5577 |
| Practice Telephone | 9198068866 |
| Practice Fax Number | 9198068877 |
| Mailing Telephone | 9198068866 |
| Mailing Fax Number | 9198068877 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | DR. EDWARD RAY (DIRECTOR / PRESIDENT) |
| Authorized Official Telephone | 9198068866 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 2008-01037 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1415 W NC HIGHWAY 54 SUITE 105 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-5577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689658072 | Loretta Elaine Braxton | Psychologist | 1415 W Nc Highway 54, Ste 113, Durham, NC 27707-5577 | 2005-11-30 |
| 1891226783 | Adrienne Michelle Smith | Marriage & Family Therapist | 1415 W Nc Highway 54, Ste 121, Durham, NC 27707-5577 | 2017-03-23 |
| 1144629957 | Duncan Hughes, Md, Pa | Plastic Surgery | 1415 W Nc Highway 54, Suite 105, Durham, NC 27707-5577 | 2014-08-18 |
| 1952717449 | Andrea Mcpherson | Psychologist | 1415 W Nc Highway 54, Ste 111, Durham, NC 27707-5577 | 2014-07-07 |
| 1326380593 | Gina Jessamyn Johnson | Counselor | 1415 W Nc Highway 54, Suite 113, Durham, NC 27707-5577 | 2013-03-26 |
| 1033481544 | Keshawna Solomon | Psychologist | 1415 W Nc Highway 54, Suite 113, Durham, NC 27707-5577 | 2012-01-30 |
| 1629355672 | Miranda Reddick | Marriage & Family Therapist | 1415 W Nc Highway 54, Suite 113, Durham, NC 27707-5577 | 2011-11-04 |
| 1366767949 | Donna S Parrish | Social Worker | 1415 W Nc Highway 54, Ste. 207, Durham, NC 27707-5577 | 2010-04-07 |
| 1538303573 | Elizabeth Charlene Lumley | Counselor | 1415 W Nc Highway 54, Suite 102, Durham, NC 27707-5577 | 2009-04-21 |
| 1871742775 | Duncan Buermann Hughes | Plastic Surgery | 1415 W Nc Highway 54, Suite 105, Durham, NC 27707-5577 | 2008-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
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| 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 |
|---|---|---|---|---|
| 1790181436 | Healing Waters Cosmetic Clinic, Pllc | Plastic Surgery | 6813 Fayetteville Rd, Suite 101, Durham, NC 27713-8721 | 2014-11-07 |
| 1285891333 | Scott Thomas Hollenbeck | Plastic Surgery | Dumc 3974, Durham, NC 27710-0001 | 2008-05-16 |
| 1225097306 | Ronald Edward Riefkohl | Plastic Surgery | 110 E Carver St, Durham, NC 27704 | 2006-03-20 |
| 1649244310 | Laura A Gunn | Plastic Surgery | 300 Crutchfield St, Durham, NC 27704-2725 | 2006-02-17 |
| 1316948532 | Alexander Christopher Allori | Plastic Surgery | 200 Trent Dr. At Erwin Rd., Dumc 3974 - Plastic, Maxillofacial & Oral Surgery, Durham, NC 27710 | 2005-08-10 |
| 1144629957 | Duncan Hughes, Md, Pa | Plastic Surgery | 1415 W Nc Highway 54, Suite 105, Durham, NC 27707-5577 | 2014-08-18 |
| 1508016247 | Laura Gunn Md, Pllc | Plastic Surgery | 300 Crutchfield St, Durham, NC 27704-2725 | 2008-09-30 |
| 1871742775 | Duncan Buermann Hughes | Plastic Surgery | 1415 W Nc Highway 54, Suite 105, Durham, NC 27707-5577 | 2008-09-16 |
| 1396937561 | Linda Carime Cendales | Plastic Surgery | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2007-08-13 |
| 1033221072 | Howard Levinson | Plastic Surgery | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-08-31 |
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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.