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Plastic & Reconstructive Surgery Inc

Plastic and Reconstructive Surgery Physician in Pawtucket, RI · enumerated 2006 · authorized official Charles Johnson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033212170

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Registry record

Entity type Organization (Type 2)
Legal business name Plastic & Reconstructive Surgery Inc
Practice address 333 School Street, Suite 305, Pawtucket, RI, 02860
Phone (401) 728-7950
Fax (401) 729-7952
Enumeration date Sep 6, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Charles Johnson
Title President
Phone (401) 728-7950

Other identifiers

Identifier Type State Issuer
1300103 Other - UNITED HEALTHCARE
001120 Other RI BLUE CHIP
20624 Other RI BLUE CROSS BLUE SHIELD
0207928001 Other - CIGNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Plastic & Reconstructive Surgery Inc located?
The practice location on file with NPPES is in Pawtucket, RI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.