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SPECIALISTS IN PLASTIC SURGERY PA
NPI 1760482210
Specialist in Raleigh, NC

Active since July 27, 2005CLIA 34D2334103 · Waiver
3633 HARDEN RD, STE 200, RALEIGH, NC 27607(919) 785-0505(919) 785-0205 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Specialists In Plastic Surgery Pa NPPES

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

SPECIALISTS IN PLASTIC SURGERY PA (NPI 1760482210) is a healthcare organization registered as a specialist in Raleigh, North Carolina and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Roger B Russell, President, as its authorized official.

NPPES Registry Identity

NPI1760482210
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPECIALISTS IN PLASTIC SURGERY PA
Location Address3633 HARDEN RD, STE 200Raleigh, NC 27607-3369
Mailing Address3633 Harden Rd, Ste 200Raleigh, NC 27607-3369 · (919) 785-0505 · Fax (919) 785-0205
Phone(919) 785-0505
Fax(919) 785-0205
Organization SubpartNo
Authorized OfficialRoger B RussellPresident · (919) 785-0505
Enumeration DateJuly 27, 2005
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1760482210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
3633 HARDEN RD, Raleigh, NC 27607
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Other Identifiers 3

Other011EMNC · Bcbs
Medicaid89011EMNC
Medicare PIN1760482210NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 34D2334103

Specialists In Plastic Surgery · Raleigh, NC
Active · expires Nov 13, 2027
CLIA Number34D2334103
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorMatthew W. Blanton
Laboratory Phone(919) 785-0505
Laboratory LocationSpecialists In Plastic Surgery3633 Harden Rd Suite 200, Raleigh, NC 27607
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, PLLC
Specialist
3633 HARDEN RD, SUITE 102
RALEIGH, NC 27607
Wake County (919) 788-8797
ROBERT JOSEPH CAUDLE MD
Orthopaedic Surgery
3633 HARDEN RD, SUITE 102
RALEIGH, NC 27607
Wake County (919) 788-8797
NIKITA SIJAPATI MD
Family Medicine
3633 HARDEN RD
RALEIGH, NC 27607
Wake County (813) 599-2689
DONALD L OSCHWALD JR. MD
Surgery (Plastic and Reconstructive Surgery)
3633 HARDEN RD, STE 200
RALEIGH, NC 27607
Wake County (919) 785-0505
ROGER BIVINS RUSSELL MD
Surgery (Plastic and Reconstructive Surgery)
3633 HARDEN RD, STE 200
RALEIGH, NC 27607
Wake County (919) 785-0505
SANJAY VENKAT DALUVOY M.D.
Surgery (Plastic and Reconstructive Surgery)
3633 HARDEN RD, #200
RALEIGH, NC 27607
Wake County (919) 785-0505
RICHARD EDWARD CARLINO MD
Surgery (Plastic and Reconstructive Surgery)
3633 HARDEN RD, STE 200
RALEIGH, NC 27607
Wake County (919) 785-0505
DR. MATTHEW WEST BLANTON M.D.
Plastic Surgery
3633 HARDEN RD, SUITE 200
RALEIGH, NC 27607
Wake County (919) 785-0505

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 Specialists In Plastic Surgery PA's NPI number?

The NPI number for Specialists In Plastic Surgery PA is 1760482210. It was assigned to this organization in the NPPES registry on July 27, 2005.

Where is Specialists In Plastic Surgery PA located?

Specialists In Plastic Surgery PA is located at 3633 Harden Rd Ste 200, Raleigh, NC 27607. The listed phone number is (919) 785-0505.

What is Specialists In Plastic Surgery PA's specialty?

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

Does Specialists In Plastic Surgery PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2334103) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Specialists In Plastic Surgery PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Specialists In Plastic Surgery PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Specialists In Plastic Surgery PA was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.