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PARK PLASTIC SURGERY, P.A.
NPI 1265533806
Specialist in Rocky Mount, NC

Active since September 26, 2006
4008 CAPITAL DR, ROCKY MOUNT, NC 27804(252) 937-5003(252) 937-3020 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Park Plastic Surgery, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARK PLASTIC SURGERY, P.A. (NPI 1265533806) is a healthcare organization registered as a specialist in Rocky Mount, North Carolina and active in the NPI registry since September 2006. The organization lists Frederick K. Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1265533806
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePARK PLASTIC SURGERY, P.A.
Location Address4008 CAPITAL DRRocky Mount, NC 27804-3123
Mailing AddressPo Box 13219Durham, NC 27709-3219 · (252) 937-5003 · Fax (252) 937-3020
Phone(252) 937-5003
Fax(252) 937-3020
Organization SubpartNo
Authorized OfficialFrederick K. ParkOwner · (252) 937-5003
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1265533806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 36793
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4008 CAPITAL DR, Rocky Mount, NC 27804
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Other Identifiers 1

Medicaid1265533806NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA W BASTIAN
Registered Nurse
4008 CAPITAL DR
ROCKY MOUNT, NC 27804
Nash County (252) 937-5003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Park Plastic Surgery, P.A.'s NPI number?

The NPI number for Park Plastic Surgery, P.A. is 1265533806. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Park Plastic Surgery, P.A. located?

Park Plastic Surgery, P.A. is located at 4008 Capital Dr, Rocky Mount, NC 27804. The listed phone number is (252) 937-5003.

What is Park Plastic Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Park Plastic Surgery, P.A. was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.