DR. BENSON ELLISON LANE TIMMONS IV (NPI# 1962404996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962404996 |
| Entity Type | Individual |
| Full Name | DR. BENSON ELLISON LANE TIMMONS IV |
| Credential | MD |
| Practice Address |
649 N New Hope Rd Gastonia NC 28054-7424 |
| Mailing Address |
1072 X Ray Dr Gastonia NC 28054-7488 |
| Practice Telephone | 7048664005 |
| Practice Fax Number | 7048660450 |
| Mailing Telephone | 7046711094 |
| Mailing Fax Number | 7046711095 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 39341 | NC | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
39341 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | 2165882G | 01 | |
| BCBS | 8354X | 01 | |
| NC | 898354X | 05 | |
| MEDICARE | 2165882F | 01 |
| Street Address |
649 N NEW HOPE RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336463009 | Rekha Arasaraju Satyaprakash | Physician Assistant | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2010-03-24 |
| 1326277245 | Benjamin Ross Eskenazi | Plastic Surgery | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2009-07-13 |
| 1093828378 | Roberta J Hawk | Dermatology | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2006-08-17 |
| 1821068891 | Southeastern Plastic Surgery PC | Surgery | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2006-01-24 |
| 1134111289 | Eric Tomson Emerson | Surgery | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1144221722 | Daniel Thomas Ness | Plastic Surgery | 959 Cox Rd, Gastonia, NC 28054-3420 | 2005-08-09 |
| 1548571672 | Cpsc Cmg LLC | Plastic Surgery | 2391 Court Dr, Ste 120, Gastonia, NC 28054-2196 | 2010-06-23 |
| 1326277245 | Benjamin Ross Eskenazi | Plastic Surgery | 649 N New Hope Rd, Gastonia, NC 28054-7424 | 2009-07-13 |
| 1245498443 | Parag Butala | Plastic Surgery | 959 Cox Rd, Gastonia, NC 28054-3420 | 2008-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457983116 | North Raleigh Plastic Surgery, Pa | Plastic Surgery | 9104 Falls of Neuse Rd Ste 204, Raleigh, NC 27615-2494 | 2020-02-10 |
| 1477197085 | Meredith Kathryn Fleming | Plastic Surgery | 1331 N Elm St Ste 100, Greensboro, NC 27401-6303 | 2019-11-06 |
| 1821653205 | Moses Cone Physician Services, Inc. | Plastic Surgery | 1002 N Church St Ste 100, Greensboro, NC 27401-1447 | 2019-05-01 |
| 1811428626 | Unc Aesthetic, Laser, and Burn Center | Plastic Surgery | 151 Old University Station Rd, Chapel Hill, NC 27514-1935 | 2017-03-23 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1902252265 | Arya Andre Akhavan | Plastic Surgery | 7040 Burnett Womack, Chapel Hill, NC 27599-7040 | 2016-05-05 |
| 1790181436 | Healing Waters Cosmetic Clinic, Pllc | Plastic Surgery | 6813 Fayetteville Rd, Suite 101, Durham, NC 27713-8721 | 2014-11-07 |
| 1699108415 | Robert T Buchanan Md Inc | Plastic Surgery | 209 Hospital Dr Ste 202, Highlands, NC 28741-6326 | 2013-08-15 |
| 1639479595 | Edward Joseph Bednar | Plastic Surgery | 439 N Wendover Rd, Charlotte, NC 28211-1064 | 2010-10-26 |
| 1487975991 | Medventures LLC | Plastic Surgery | 1011 N Lindsay St Ste 202, High Point, NC 27262-3945 | 2010-06-18 |
| Find all providers with the same taxonomy | ||||
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| 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.