Triangle Plastic Surgery Center, PLLC
Plastic Surgery in Raleigh, NC. Organization (NPI-2).
NPI number1679010011
StatusActive
Last updated in NPPESJan 24, 2017
Details
- NPI
- 1679010011
- Entity type
- Organization (NPI-2)
- Legal business name
- Triangle Plastic Surgery Center, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2017
- Last updated
- Jan 24, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 2011000555 | NC | Yes |
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | 200900778 | NC |
Practice location
9104 Falls Of Neuse RdSuite 204
Raleigh, NC 27615-2494
Phone 919-706-4900 · Fax 919-706-4901
Mailing address
9104 Falls Of Neuse RdSuite 204
Raleigh, NC 27615-2494
Phone 919-706-4900 · Fax 919-706-4901
Authorized official
Lonnie W Bunn
Business Manager
9197064900
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