PLASTIC SURGERY CENTER OF NC INC – NPI #1013002138
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

PLASTIC SURGERY CENTER OF NC INC is a surgeon located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1013002138 to PLASTIC SURGERY CENTER OF NC INC on October 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 19 years ago on Aug 01, 2007. 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 PLASTIC SURGERY CENTER OF NC INC below.

NPI Profile for
PLASTIC SURGERY CENTER OF NC INC

NPI Number
1013002138
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PLASTIC SURGERY CENTER OF NC INC
Primary location
2901 MAPLEWOOD AVE
WINSTON-SALEM, NC 27103-4009
Phone: (336) 765-8620 Fax: (336) 768-6236
Mailing address
Same as primary location
Organization Subpart
Yes - PLASTIC SURGERY CENTER OF NC INC is subpart of another organization.
Authorized Official
JOHN FAGG
PRESIDENT
Phone: (336) 765-8620
Updated
Taxonomy Code(s)

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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
NC 200001355455

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.