Triangle Plastic Surgery Center, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

2011000555 Issued in NC

Legal business name

TRIANGLE PLASTIC SURGERY CENTER, PLLC

Practice address

9104 Falls of Neuse Rd
Suite 204
Raleigh, NC 27615-2494

Phone

(919) 706-4900

Fax

(919) 706-4901

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Lonnie W Bunn

Title

Business Manager

Phone

(919) 706-4900

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1679010011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9104 FALLS OF NEUSE RD",
            "address_2": "SUITE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152494",
            "telephone_number": "919-706-4900",
            "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",
            "address_2": "SUITE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152494",
            "telephone_number": "919-706-4900",
            "fax_number": "919-706-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE PLASTIC SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-706-4900"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NC",
            "license": "200900778",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2011000555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triangle Pain Institute
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• Triangle Pastoral Counseling
• Triangle Pediatric Therapy PLLC
• Triangle Physical Medicine of North Hills PC
• Triangle Psychiatric Services, PA
• Triangle Psychoeducational Consultants
• Triangle Radiation Oncology Services, Inc.
• Triangle Sinus Center PLLC
• Triangle Skin Center of Carolina PA

• 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 Jan 24, 2017; 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.