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GREENVILLE SURGICAL PLLC NPI 1548440407


NPI Information

NPI: 1548440407
Provider Name: GREENVILLE SURGICAL, PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1011 W H SMITH BLVD
SUITE 100
GREENVILLE, NC
ZIP 27834
Phone: (252) 754-8370
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GREENVILLE SURGICAL, PLLC is a surgery in Greenville, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GREENVILLE SURGICAL, PLLC NPI is 1548440407. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1011 W H SMITH BLVD
SUITE 100
GREENVILLE, NC
ZIP 27834-787
Phone: (252) 754-8370
Fax: (252) 754-8387

The provider's authorized official is Barry Russell Hastings .
The authorized official title is Owner/physician and has the following contact phone number (252) 754-8370.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 10/29/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery9800894NORTH CAROLINANo
2208600000XSurgery9800894NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12251114BMEDICARE PINNORTH CAROLINA
2G75136MEDICARE UPINNORTH CAROLINA
3891149VMEDICAIDNORTH 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: 4/28/2024

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