Organization Active NPI

Wake Plastic Surgery, PLLC

  • Ambulatory Surgical Clinic/Center
  • Cary, NC
National Provider Identifier
1316101876
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
200701681 Issued in NC
Legal business name
WAKE PLASTIC SURGERY, PLLC
Practice address
300 Keisler Dr
Suite 102
Cary, NC 27518-7083
Phone
(919) 805-3441
Fax
(919) 869-2277
NPI assigned
Jul 14, 2008
Last updated
Aug 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
William Todd Stoeckel, M.D.NPI 1477734077
Title
Plastic Surgeon
Phone
(919) 600-0743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 200701681 NC Primary

Addresses

Primary practice location

300 Keisler Dr
Suite 102
Cary, NC 27518-7083

Mailing address

1820 Crossroads Vista Dr
Apartment #203
Raleigh, NC 27606-4199
Phone (919) 600-0743

National Provider Directory

National Provider Directory

Locations

300 Keisler Dr
Ste 102
Cary, NC 27518
Phone (919) 805-3441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1316101876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 CROSSROADS VISTA DR",
            "address_2": "APARTMENT #203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064199",
            "telephone_number": "919-600-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KEISLER DR",
            "address_2": "SUITE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187083",
            "telephone_number": "919-805-3441",
            "fax_number": "919-869-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "STOECKEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "919-600-0743",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "200701681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.