Rak Plastic and Reconstructive Surgery Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35-069331 Issued in OH

Legal business name

RAK PLASTIC AND RECONSTRUCTIVE SURGERY INC

Doing business as

Thomas P. Rak, MD

Practice address

415 E Home Rd
Springfield, OH 45503-2708

Phone

(937) 399-9997

Fax

(937) 399-5633

NPI assigned

Aug 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas P Rak, MDNPI 1124019807

Title

President

Phone

(937) 399-9997

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thomas P. Rak, MD Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Paul Rak, M.D.

  • Plastic Surgery Physician
  • Springfield, OH
  • NPI 1124019807
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1053503078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032708",
            "telephone_number": "937-399-9997",
            "fax_number": "937-399-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032708",
            "telephone_number": "937-399-9997",
            "fax_number": "937-399-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAK PLASTIC AND RECONSTRUCTIVE SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "RAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-399-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-069331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas P. Rak, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas P. Rak, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mya E Ragan
• Michelle Ragland
• Mohammad Rahimuddin, M.D.
• Adrian Rainero Garcia, MD
• Pamela Dawn Raines, APRN
• Thomas Paul Rak, M.D.
• Anand Ramachandran, MD
• Demoni' Ramey
• Jeffrey Blaine Randall, CDCA
• Moin Ahmed Ranginwala, MD

• Plastic Surgery Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.