North Raleigh Plastic Surgery, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NORTH RALEIGH PLASTIC SURGERY, PA

Practice address

9104 Falls of Neuse Rd Ste 200
Raleigh, NC 27615-2494

Phone

(919) 532-2270

Fax

(919) 230-1940

NPI assigned

Feb 10, 2020

Last updated

Apr 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan A Ortiz, MDNPI 1225100308

Title

President

Phone

(919) 532-2270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, and the practitioner matching its NPPES authorized official.

• Juan Antonio Ortiz, MD

  • Plastic and Reconstructive Surgery Physician
  • Wake Forest, NC
  • NPI 1225100308
  Authorized official Same address or phone

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1457983116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 SENTINEL DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093508",
            "telephone_number": "919-532-2270",
            "fax_number": "919-706-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 FALLS OF NEUSE RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152494",
            "telephone_number": "919-532-2270",
            "fax_number": "919-230-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RALEIGH PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-532-2270",
        "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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• North Raleigh Psychiatry, PA
• North Raleigh Sleep Center PLLC (Sleep Center)
• North Raleigh SM LLC (NC Sleep Center)
• North Raleigh Wellness, PLLC (North Raleigh Chiropractic)
• North State Investment Group, LLC (North State Medical Transport)

• Plastic Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.