Raine Center for Plastic Surgery, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036057908 Issued in IL

Legal business name

RAINE CENTER FOR PLASTIC SURGERY, PC

Practice address

1405 W Park St
Suite 206
Urbana, IL 61801-2367

Phone

(217) 366-2650

Fax

(217) 366-2652

NPI assigned

Aug 18, 2015

Organization subpart

No

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

Authorized official

Name

Talmage Joseph Raine, M.D.

Title

President

Phone

(217) 366-2650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1497121024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W PARK STREET",
            "address_2": "SUITE 206",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012365",
            "telephone_number": "217-366-2650",
            "fax_number": "217-366-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W PARK ST",
            "address_2": "SUITE 206",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012367",
            "telephone_number": "217-366-2650",
            "fax_number": "217-366-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINE CENTER FOR PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "RAINE",
        "authorized_official_first_name": "TALMAGE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-366-2650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036057908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal D Radnitzer, MD
• Carla Marie Rafferty, MD
• Divya Raghavan, M.D.
• Usman Mohammad Raheemi, M.D.
• Lajpat Rai, MD
• Talmage J Raine, M.D.
• Hem Raj
• Aneesh Rajmaira, MD
• Richard Rak, MD
• Sai Sri Harsha Rallabhandi, MBBS

• Plastic Surgery Physician in Urbana, IL
• Providers in Urbana, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.