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Deactivated NPI 1366555336 Deactivated / Inactive NPI Male Practitioner

Dr. Charles F Johnson , MD

Plastic Surgery • Pawtucket, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2006
NPI Deactivation Date July 26, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Johnson, MD was a registered Plastic Surgery practicing in Pawtucket, RI. Throughout an active medical career spanning 17 years, Dr. Johnson provided care at the practice location at 333 SCHOOL STREET until profile deactivation on 2023-07-26.

Practice Location & Contact Primary Location

Practice Address

333 School Street
Suite 305

Pawtucket, RI 02860

Telephone 4017287950
Fax 4017287952
Associated Practice Facility / Clinic
🏢 David S. Pomerantz Md Inc Facility NPI 1497780993

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Pawtucket, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Pawtucket, RI (31 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License RI 4516

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Cynthia Hanna , MD

Obstetrics & Gynecology - Gynecology

NPI 1457391336

Doctor of Medicine (M.D.)

Karen Iannucci , RNP

Nurse Practitioner

NPI 1518914084
Dr. Tawfik Hawwa , MD

Obstetrics & Gynecology

NPI 1679504286

Doctor of Medicine (M.D.)

NPI 1942225610

Doctor of Medicine (M.D.)

NPI 1972529832

Doctor of Medicine (M.D.)

Dr. Nabil Khoury , MD

Obstetrics & Gynecology - Gynecology

NPI 1982644878

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 26, 2023

Record deactivated on July 26, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 333 SCHOOL STREET, SUITE 305, PAWTUCKET, RI 02860 (Tel: 4017287950)

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Updated Business Mailing Address July 08, 2007

Registered at 333 SCHOOL STREET, C/O PLASTIC & RECONSTRUCTIVE SURGERY INC SUITE 305, PAWTUCKET, RI 02860 (Tel: 4017287950)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES JOHNSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #4516 in RI)

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Initial NPI Registration & Enumeration August 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366555336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: July 08, 2007
Deactivation Date: July 26, 2023

Mailing Address

333 School Street, C/o Plastic & Reconstructive Surgery Inc Suite 305

Pawtucket, RI 02860

Phone: 4017287950

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.