CORDRAY PLASTIC SURGERY LLC – NPI #1225577265
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.
CORDRAY PLASTIC SURGERY LLC is a plastic surgeon located in CHARLESTON, SC. NPPES has assigned the NPI number 1225577265 to CORDRAY PLASTIC SURGERY LLC on February 22, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.
The NPI profile was last updated on Aug 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORDRAY PLASTIC SURGERY LLC below.
NPI Profile for
CORDRAY PLASTIC SURGERY LLC
(more than 9 years ago)
CHARLESTON, SC 29414-5743 Phone: (843) 718-2334 Fax: (843) 277-2067
CHARLESTON, SC 29407-7559 Phone: (843) 718-2334 Fax: (843) 277-2067
OWNER/PHYSICIAN
Phone: (843) 718-2334
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Identifiers for CORDRAY PLASTIC SURGERY LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | SOLE PROPRIETOR NPI-TYPE 1 | 1346432614 | |
| other | STATE LICENSE | 22185 | |
| medicaid | SC | 30236309 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208200000X - Plastic Surgery (Primary) |
SC | 22185 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.