GLOW PLASTIC SURGERY, PC (NPI# 1831587435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831587435 |
| Entity Type | Organization |
| Organization Name | GLOW PLASTIC SURGERY, PC |
| Other Organization Name | PLASTIX MD PC |
| Practice Address |
10010 Falls of Neuse Rd Suite 102 Raleigh NC 27614-8494 |
| Practice Telephone | 9196734502 |
| Practice Fax Number | 9198484603 |
| Mailing Telephone | 9196734502 |
| Mailing Fax Number | 9198484603 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | LONNIE BUNN (CFO) |
| Authorized Official Telephone | 9196734502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 200400591 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Plastix MD PC | Former Legal Business Name - Organization |
| Street Address |
10010 FALLS OF NEUSE RD SUITE 102 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-8494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972575934 | Inam Rashid | Family Medicine | 10010 Falls of Neuse Rd, Suite 103, Raleigh, NC 27614-8494 | 2006-02-03 |
| 1164059036 | Stephanie Schwarz Baker | Physical Therapist | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2020-03-23 |
| 1861030108 | Katherine Celeste Brewer | Occupational Therapist | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-12-17 |
| 1659936839 | Wakemed Specialists Group, LLC | Otolaryngology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-03 |
| 1073178398 | Wakemed Specialists Group LLC | Internal Medicine | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-02 |
| 1598320830 | Wakemed Specialists Group, LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-02 |
| 1174188494 | Wakemed Specialists Group, LLC | Occupational Therapist | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-02 |
| 1518521905 | Wakemed Specialists Group LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-01 |
| 1013571405 | Wakemed Specialists Group, LLC | Pediatrics | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8495 | 2019-05-01 |
| 1063076453 | Wakemed Specialists Group LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
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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 |
|---|---|---|---|---|
| 1457983116 | North Raleigh Plastic Surgery, Pa | Plastic Surgery | 9104 Falls of Neuse Rd Ste 204, Raleigh, NC 27615-2494 | 2020-02-10 |
| 1841384567 | Christopher J Morea | Plastic Surgery | 7700 Lead Mine Rd, Raleigh, NC 27615-4828 | 2006-10-03 |
| 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 |
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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.