Oculofacial Plastic Surgery Consultants PA

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

OCULOFACIAL PLASTIC SURGERY CONSULTANTS PA

Practice address

3731 NW Cary Pkwy Ste 101
Cary, NC 27513

Phone

(919) 443-2557

Fax

(919) 869-1869

NPI assigned

Jun 17, 2011

Organization subpart

No

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

Authorized official

Name

Renzo A Zaldivar, MDNPI 1548234313

Title

President

Phone

(919) 443-2557

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16818/brand/1/csg/1/fhir/r4

Practitioners 7

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

• Renzo A Zaldivar, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Cary, NC
  • NPI 1548234313
  Medicare reassignment Authorized official
• Cassandra White, M.D.

  • Ophthalmology Physician
  • Meridian, ID
  • NPI 1093071219

  NC, Single Specialty

  Medicare reassignment NPD
• Becky Moore

  • Physician Assistant
  • Raleigh, NC
  • NPI 1013370527
  Medicare reassignment
• Ginny Vanderburg

  • Physician Assistant
  • Garner, NC
  • NPI 1174046387
  Medicare reassignment
• Elizabeth Fei Henry, PA

  • Physician Assistant
  • Cary, NC
  • NPI 1972385052
  NPD (past)
• Anna Victoria Jacobs, PA

  • Physician Assistant
  • Greensboro, NC
  • NPI 1497519227
  NPD (past)
• Charles D. Rice, M.D.

  • Ophthalmology Physician
  • Winston Salem, NC
  • NPI 1538143037
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1346535283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275601027",
            "telephone_number": "919-443-2557",
            "fax_number": "919-869-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 NW CARY PKWY STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-443-2557",
            "fax_number": "919-869-1869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Holly Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275409030",
            "country_code": "US",
            "telephone_number": "919-443-2557",
            "fax_number": "919-869-1869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCULOFACIAL PLASTIC SURGERY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "ZALDIVAR",
        "authorized_official_first_name": "RENZO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-443-2557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922474",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oaktree Counseling NC, PLLC
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• Shazia Obaid, MD
• Cynthia Caskey Oberfelder, M.D.
• Whitney Oberkofler, PHARMD
• Emily Y Odjaghian, PSYD
• Erica Odom, COTA/L
• Mark A Odom, DDS
• Shameaka L Odom
• Deborah Fitzgibbons Ogburn, MS, OTR/L

• Ophthalmic Plastic and Reconstructive Surgery Physician in Cary, NC
• Providers in Cary, NC by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.