EAST ALABAMA PLASTIC SURGERY, LLC
NPI 1659634624
Plastic Surgery in Auburn, AL

Active since June 24, 2012CLIA 01D2306308 · Waiver
778 N DEAN RD, SUITE 400, AUBURN, AL 36830(334) 321-4989 Get Directions Write a Review

NPPES record last updated: June 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Alabama Plastic Surgery, Llc NPPES

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

EAST ALABAMA PLASTIC SURGERY, LLC (NPI 1659634624) is a healthcare organization registered as a plastic surgery in Auburn, Alabama and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through June 13, 2028 and lists Ralph L Aquadro, Llc Member, as its authorized official.

NPPES Registry Identity

NPI1659634624
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameEAST ALABAMA PLASTIC SURGERY, LLC
Location Address778 N DEAN RD, SUITE 400Auburn, AL 36830-4312
Mailing Address778 N Dean Rd, Suite 400Auburn, AL 36830-4312 · (334) 321-4989
Organization SubpartNo
Authorized OfficialRalph L AquadroLlc Member · (334) 321-4989
Enumeration DateJune 24, 2012
NPI 1659634624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in AL · MD.31455
Definition
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.
778 N DEAN RD, Auburn, AL 36830

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2306308

East Alabama Plastic Surgery · Auburn, AL
Active · expires Jun 13, 2028
CLIA Number01D2306308
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorDr. Ralph L. Aquadro
Laboratory Phone(334) 321-4989
Laboratory LocationEast Alabama Plastic Surgery1935 E Glenn Ave, Ste 102, Auburn, AL 36830
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
778 N DEAN RD, SUITE 500
AUBURN, AL 36830
Dentist (General Practice)
778 N DEAN RD, SUITE 500
AUBURN, AL 36830

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 East Alabama Plastic Surgery, LLC's NPI number?

The NPI number for East Alabama Plastic Surgery, LLC is 1659634624. It was assigned to this organization in the NPPES registry on June 24, 2012.

Where is East Alabama Plastic Surgery, LLC located?

East Alabama Plastic Surgery, LLC is located at 778 N Dean Rd Suite 400, Auburn, AL 36830. The listed phone number is (334) 321-4989.

What is East Alabama Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does East Alabama Plastic Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2306308) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Alabama Plastic Surgery, LLC was last updated on June 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.