FAYETTEVILLE PLASTIC SURGERY SPECIALISTS, PA (NPI# 1093808388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093808388 |
| Entity Type | Organization |
| Organization Name | FAYETTEVILLE PLASTIC SURGERY SPECIALISTS, PA |
| Practice Address |
1774 Metromedical Dr Fayetteville NC 28304-3861 |
| Practice Telephone | 9103231203 |
| Practice Fax Number | 9104831130 |
| Mailing Telephone | 9103231203 |
| Mailing Fax Number | 9104831130 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HORACE WILLIAM MILLER IV (PRESIDENT) |
| Authorized Official Telephone | 9103231203 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 27390 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8959118 | 05 |
| Street Address |
1774 METROMEDICAL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494377 | Chukwuemeka Ogbonnaya Chima | Internal Medicine | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2005-08-22 |
| 1558992875 | Brandon Scott Lehr | Physician Assistant | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2020-01-27 |
| 1568925592 | Maria Victoria Rosario Pacana Lim | Physician Assistant | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2019-04-08 |
| 1710445754 | Tanya Gibbs | Nurse Practitioner | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2019-03-08 |
| 1962897587 | Renaldo O'neal Neeley | Internal Medicine | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2015-03-31 |
| 1376965988 | Thomas Radford Brown Jr. | Physician Assistant | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2014-01-16 |
| 1396037883 | Elizabeth Ebere Onyeaso | Internal Medicine | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2011-05-03 |
| 1376636654 | Horace William Miller Iv | Plastic Surgery | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-10-01 |
| 1861484107 | Katherine D Mouser | Physician Assistant | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710291299 | The Center for Plastic Surgery, Plc | Plastic Surgery | 3733 N Business Dr Ste 102, Fayetteville, AR 72703-5286 | 2010-07-27 |
| 1245567833 | Carolina Plastic Surgery of Fayetteville PC | Plastic Surgery | 2153 Valleygate Dr Ste 103, Fayetteville, NC 28304-3667 | 2009-11-03 |
| 1962648980 | R. Douglas Vanderpool | Plastic Surgery | 2552 E. Joyce Blvd., Suite B, Fayetteville, AR 72703-4553 | 2008-12-22 |
| 1255498887 | Stephen Mitchell Herring | Plastic Surgery | 516 Beaumont Rd, Fayetteville, NC 28304-4443 | 2007-01-02 |
| 1548342702 | Saira Saini | Plastic Surgery | 2153 Valleygate Dr., Suite 103 Carolina Plastic Surgery, Fayetteville, NC 28304 | 2006-10-19 |
| 1740245893 | David Heath Stacey | Plastic Surgery | 137 W Van Asche Loop, Fayetteville, AR 72703-4999 | 2006-04-20 |
| 1306838099 | Edward Scott Gronka | Plastic Surgery | 874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214-1511 | 2005-08-18 |
| 1760733448 | Truffles Vein Center, LLC | Plastic Surgery | 874 Lanier Ave W, Suite 120, Fayetteville, GA 30214-7662 | 2012-09-21 |
| 1801190731 | Denis F Branson Md Professional Corporation | Plastic Surgery | 7000 E Genesee St, Building E, Fayetteville, NY 13066-1131 | 2011-01-06 |
| 1396057758 | Northwest Arkansas Center for Plastic Surgery, Ltd. | Plastic Surgery | 137 W Van Asche Loop, Fayetteville, AR 72703 | 2010-07-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on FAYETTEVILLE PLASTIC SURGERY SPECIALISTS, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.