PINEHURST PLASTIC SURGERY SPECIALISTS P.A. NPI 1437349636

NPI Information

NPI: 1437349636
Provider Name: PINEHURST PLASTIC SURGERY SPECIALISTS, P.A.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

CLIA Number: 34D2288473

Address:
20 MEMORIAL DRIVE
PINEHURST, NC
ZIP 28374
Phone: (910) 295-1917
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PINEHURST PLASTIC SURGERY SPECIALISTS, P.A. is a plastic and reconstructive surgery surgery in Pinehurst, NC. The provider is a surgeon who specializes in plastic and reconstructive surgery. PINEHURST PLASTIC SURGERY SPECIALISTS, P.A. NPI is 1437349636. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20 MEMORIAL DRIVE
PINEHURST, NC
ZIP 28374
Phone: (910) 295-1917
Fax: (910) 295-1481

The provider's authorized official is Steven Mark Zoellner .
The authorized official title is President and has the following contact phone number (910) 295-1917.

The CLIA number assigned to this NPI record is 34D2288473 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 3/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	14261	NORTH CAROLINA	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	37982	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5900367	MEDICAID	NORTH CAROLINA
2	1400	MEDICARE PIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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