Active NPI
Piedmont Plastic Surgery, PA
- Specialist
- High Point, NC
National Provider Identifier
1255393971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PIEDMONT PLASTIC SURGERY, PA
- Practice address
- 1011 N Lindsay St
Suite 202
High Point, NC 27262-3944 - Phone
- (336) 886-1667
- Fax
- (336) 886-5536
- NPI assigned
- Apr 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Virgil V. Willard II, M.D.
- Title
- Plastic Surgeon
- Phone
- (336) 886-1667
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1011 N Lindsay St
Suite 202
High Point, NC 27262-3944
Mailing address
1011 N Lindsay St
Suite 202
High Point, NC 27262-3944
Phone (336) 886-1667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7902376 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- High Point, NC
- NPI 1548254477
Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426636800000",
"number": "1255393971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 N LINDSAY ST",
"address_2": "SUITE 202",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623944",
"telephone_number": "336-886-1667",
"fax_number": "336-886-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N LINDSAY ST",
"address_2": "SUITE 202",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623944",
"telephone_number": "336-886-1667",
"fax_number": "336-886-5536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT PLASTIC SURGERY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2015-03-18",
"status": "A",
"authorized_official_last_name": "WILLARD",
"authorized_official_first_name": "VIRGIL",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "PLASTIC SURGEON",
"authorized_official_telephone_number": "336-886-1667",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7902376",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.