Diehl Plastic Surgery, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1972575850 Issued in NC

Legal business name

DIEHL PLASTIC SURGERY, PLLC

Practice address

9636 Club Valley Way
Raleigh, NC 27617-8604

Phone

(919) 237-1097

Fax

(919) 873-9244

NPI assigned

Dec 31, 2009

Organization subpart

No

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

Authorized official

Name

Cynthia L Diehl, MD

Title

President

Phone

(919) 237-1097

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Savanah Palen Mullen, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1790343192
  NPD (past)
• Shruti Chudasama Tannan, MD

  • Plastic Surgery Physician
  • Raleigh, NC
  • NPI 1821257981
  NPD (past)
• Denise M. Verni, PA-C

  • Plastic Surgery Physician
  • Raleigh, NC
  • NPI 1205995446
  NPD (past)

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1871823591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9636 CLUBVALLEY WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178604",
            "telephone_number": "919-237-1097",
            "fax_number": "919-873-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9636 CLUB VALLEY WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178604",
            "telephone_number": "919-237-1097",
            "fax_number": "919-873-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEHL PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-237-1097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "1972575850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahlon Alan Dickens, MD
• Steven Dickens, D.D.S., M.S.
• Courtney R Dickerson
• Kyleen K. Dickerson, OT
• Janet R Dickmander, NP
• Aimee L Diehl, M.A. CCC-SLP
• Cynthia Lyn Diehl, M.D.
• Lee Harold Diehl, M.D.
• Nicolas Russell Diemma
• Paula M Dietrich, PHARMD

• Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.