Healing Waters Cosmetic Clinic, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

HEALING WATERS COSMETIC CLINIC, PLLC

Practice address

6813 Fayetteville Rd
Suite 101
Durham, NC 27713-8721

Phone

(919) 572-1710

NPI assigned

Nov 7, 2014

Last updated

Nov 7, 2014By 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

Mrs. Amanda Gorecki, APRN

Title

President/Ceo

Phone

(678) 730-7780

Specialties & licenses 1

Addresses

Other names 1

• Healing Waters Other name

Tax ID family

Healing Waters2 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.

• Healing Waters North Carolina

  • Surgery Physician
  • Durham, NC
  • NPI 1083007207
  NPD tax ID

Locations

Practitioners 1

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.

• Joseph Andrew Franklin, MD

  • Plastic Surgery Physician
  • Cary, NC
  • NPI 1730101213
  NPD (past)

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1790181436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BUFORD VILLAGE WAY",
            "address_2": "SUITE 325",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305188843",
            "telephone_number": "678-730-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 FAYETTEVILLE RD",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138721",
            "telephone_number": "919-572-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS COSMETIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "GORECKI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "678-730-7780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Waters",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Healing Connections - Center for Mind and Body PLLC
• Healing Harmony Therapeutic Services, PLLC
• Healing Hearts Wellness Center
• Healing Horizon Community Care LLC
• Healing Spaces PLLC
• Healing Waters IV Therapy
• Healing Waters North Carolina
• Healing With Caare Inc
• Healing With Caare, Inc (CAARE, Inc)
• Healing Within Holistic Health Services

• Plastic Surgery Physician in Durham, NC
• Providers in Durham, 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 Nov 7, 2014; 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.