PLASTIC & RECONSTRUCTIVE SURGERY INC – NPI #1033212170
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

PLASTIC & RECONSTRUCTIVE SURGERY INC is a surgeon located in PAWTUCKET, RI. NPPES has assigned the NPI number 1033212170 to PLASTIC & RECONSTRUCTIVE SURGERY INC on September 06, 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 6 years ago on Aug 22, 2020. 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 & RECONSTRUCTIVE SURGERY INC below.

NPI Profile for
PLASTIC & RECONSTRUCTIVE SURGERY INC

NPI Number
1033212170
Enumeration Date

(about 20 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 & RECONSTRUCTIVE SURGERY INC
Primary location
333 SCHOOL STREET
SUITE 305
PAWTUCKET, RI 02860
Phone: (401) 728-7950 Fax: (401) 729-7952
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES JOHNSON
PRESIDENT
Phone: (401) 728-7950
Updated
Identifiers

Identifiers for PLASTIC & RECONSTRUCTIVE SURGERY INC

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.

DescriptionIssuerStateIdentifier
OTHERBLUE CHIPRI001120
OTHERBLUE CROSS BLUE SHIELDRI20624
OTHERCIGNA0207928001
OTHERUNITED HEALTHCARE1300103
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)

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.