The Center for Plastic Surgery at Ridgewood Hill LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

THE CENTER FOR PLASTIC SURGERY AT RIDGEWOOD HILL LLC

Practice address

2880 Keagy Rd
Salem, VA 24153-7458

Phone

(540) 444-4343

Fax

(540) 444-4345

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Carol A Wray, MD

Title

Owner

Phone

(540) 444-4343

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1083802847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "540-981-9394",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 KEAGY RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537458",
            "telephone_number": "540-444-4343",
            "fax_number": "540-444-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR PLASTIC SURGERY AT RIDGEWOOD HILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-444-4343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Salem, VA
• Providers in Salem, VA by specialty
• Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.