Southpoint Plastic Surgery, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

2008-01037 Issued in NC

Legal business name

SOUTHPOINT PLASTIC SURGERY, PC

Practice address

1415 W NC Highway 54
Suite 105
Durham, NC 27707-5577

Phone

(919) 806-8866

Fax

(919) 806-8877

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Ray, M.D.

Title

Director / President

Phone

(919) 806-8866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1669629903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W NC HIGHWAY 54",
            "address_2": "SUITE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075577",
            "telephone_number": "919-806-8866",
            "fax_number": "919-806-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W NC HIGHWAY 54",
            "address_2": "SUITE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075577",
            "telephone_number": "919-806-8866",
            "fax_number": "919-806-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINT PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR / PRESIDENT",
        "authorized_official_telephone_number": "919-806-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2008-01037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Psychology P a
• Southern States Staffing Inc
• Southpoint Family Medicine, PLLC
• Southpoint Medicine and Women'S Health Assocates
• Southpoint Opco LLC
• Southpoint Podiatry, Inc.
• Southpoint Surgery Center LLC
• Southpoint Surgical PLLC
• Southpoint Vision, Christy Byrd, OD, PLLC
• Southwest Durham Family Medicine, PLLC

• All providers in Durham, NC
• Plastic Surgery Physician in North Carolina

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