Cary Plastic & Reconstructive Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

31027 Issued in NC

Legal business name

CARY PLASTIC & RECONSTRUCTIVE SURGERY CENTER

Practice address

1608 Kildaire Farm Rd Ste 100
Cary, NC 27511-6557

Phone

(919) 233-1933

Fax

(919) 896-6939

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Donald P Hanna, MDNPI 1417909151

Title

Owner

Phone

(919) 233-1933

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.

• Donald Paul Hanna, M.D.

  • Specialist
  • Cary, NC
  • NPI 1417909151
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1649611344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 KILDAIRE FARM RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116557",
            "telephone_number": "919-233-1933",
            "fax_number": "919-896-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 KILDAIRE FARM RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116557",
            "telephone_number": "919-233-1933",
            "fax_number": "919-896-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY PLASTIC & RECONSTRUCTIVE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-233-1933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "31027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Pain Center, PC
• Cary Pediatric Center PA
• Cary Pharmacy, LLC (Cary Pharmacy)
• Cary Physical Therapy and Rehabilitation Inc.
• Cary Physicians Primary Care PLLC
• Cary Primary Care
• Cary Primary Care PA
• Cary Psychiatry
• Cary Rheumatology & Arthritis Associates PA
• Cary Senior Housing I Opco, LLC (Swift Creek Health Center)

• Specialist in Cary, NC
• Providers in Cary, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.