Organization Active NPI

The Centers for Plastic Surgery

  • Plastic Surgery Physician
  • Salem, VA
National Provider Identifier
1891976650
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101042617 Issued in VA
Legal business name
THE CENTERS FOR PLASTIC SURGERY
Practice address
2880 Keagy Rd
Salem, VA 24153-7458
Phone
(540) 444-4343
Fax
(540) 444-4345
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Carol A Wray, MDNPI 1255302154
Title
Owner
Phone
(540) 444-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 0101042617 VA Primary

Addresses

Primary practice location

2880 Keagy Rd
Salem, VA 24153-7458

Mailing address

PO Box 4127
Roanoke, VA 24015-0127
Phone (540) 981-9394

Other identifiers 1

IdentifierTypeStateIssuer
C10337OtherVAMEDICARE GROUP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1891976650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240150127",
            "telephone_number": "540-981-9394",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 KEAGY RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537458",
            "telephone_number": "540-444-4343",
            "fax_number": "540-444-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTERS FOR PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-444-4343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101042617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C10337",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.