Active NPI
Raleigh Plastic Surgery Center
- Specialist
- Raleigh, NC
National Provider Identifier
1821047648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- RALEIGH PLASTIC SURGERY CENTER
- Practice address
- 1112 Dresser CT
Raleigh, NC 27609-7303 - Phone
- (919) 872-2616
- Fax
- (919) 872-2771
- NPI assigned
- May 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William A Lambeth, MD
- Title
- Ceo
- Phone
- (919) 872-2616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NC | Primary |
Addresses
Primary practice location
1112 Dresser CT
Raleigh, NC 27609-7303
Mailing address
1112 Dresser CT
Raleigh, NC 27609-7303
Phone (919) 872-2616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902506 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090529000209 | NC | Part B Supplier - Clinic/Group Practice | 4183773864 |
Receives reassigned benefits from 3 practitioners Practice locations: Raleigh, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Raleigh, NC
- NPI 1770559759
4183773864
National Provider Directory
National Provider Directory- Tax ID family
- Raleigh Plastic Surgery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Raleigh, NC
- NPI 1770559759
Locations
1112 Dresser Ct
Raleigh, NC 27609
Phone (919) 872-2616
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Raleigh, NC
- NPI 1528033826
-
- Student in an Organized Health Care Education/Training Program
- Winston Salem, NC
- NPI 1013150705
-
- Specialist
- Raleigh, NC
- NPI 1700851037
-
- Plastic Surgery Physician
- Raleigh, NC
- NPI 1245410901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821047648",
"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",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAMBETH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-872-2616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902506",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Raleigh Orthopaedic Pharmacy
- Raleigh Orthopaedic Pharmacy
- Raleigh OT LLC
- Raleigh Pathology Laboratory Associates PA
- Raleigh Pediatric Associates, PA
- Raleigh Plastic Surgery Center Inc
- Raleigh Preventative Care, PA
- Raleigh Primary Care Medicine, PA
- Raleigh Psychiatric Associates PA
- Raleigh Psychology and Counseling, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.