Raleigh Plastic Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

39338 Issued in NC

Legal business name

RALEIGH PLASTIC SURGERY CENTER INC

Practice address

1112 Dresser CT
Raleigh, NC 27609-7303

Phone

(919) 872-2616

Fax

(919) 872-2771

NPI assigned

Feb 28, 2006

Last updated

Aug 27, 2013By 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

Dr. Rhett C High, MDNPI 1528033826

Title

Ceo

Phone

(919) 872-2616

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Raleigh Plastic Surgery Center

  • Specialist
  • Raleigh, NC
  • NPI 1821047648

  4183773864

  Same PAC ID

Listed as

Raleigh Plastic Surgery Center IncCCN 34C0001024

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Raleigh Plastic Surg CT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Raleigh Plastic Surgery Center

  • Specialist
  • Raleigh, NC
  • NPI 1821047648
  NPD tax ID

Locations

Practitioners 3

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.

• Rhett Charles High, M.D.

  • Specialist
  • Raleigh, NC
  • NPI 1528033826
  NPD Authorized official
• William Glenn Lyle, M.D.

  • Specialist
  • Raleigh, NC
  • NPI 1700851037
  NPD
• Jeremy W Pyle, M.D.

  • Plastic Surgery Physician
  • Raleigh, NC
  • NPI 1245410901
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1770559759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097303",
            "telephone_number": "919-872-2616",
            "fax_number": "919-872-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097303",
            "telephone_number": "919-872-2616",
            "fax_number": "919-872-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH PLASTIC SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "HIGH",
        "authorized_official_first_name": "RHETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-872-2616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "39338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409850",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raleigh Orthopaedic Pharmacy
• Raleigh OT LLC
• Raleigh Pathology Laboratory Associates PA
• Raleigh Pediatric Associates, PA
• Raleigh Plastic Surgery Center
• Raleigh Preventative Care, PA
• Raleigh Primary Care Medicine, PA
• Raleigh Psychiatric Associates PA
• Raleigh Psychology and Counseling, PA
• Raleigh Psychology PLLC

• Ambulatory Surgical Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.