WATAUGA SURGICAL GROUP PA NPI 1588653489

NPI Information

NPI: 1588653489
Provider Name: WATAUGA SURGICAL GROUP PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address: 965 STATE FARM RD
BOONE, NC
ZIP 28607
Phone: (828) 264-2340

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NPI Details

WATAUGA SURGICAL GROUP PA is a surgery in Boone, 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. WATAUGA SURGICAL GROUP PA NPI is 1588653489. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

965 STATE FARM RD
BOONE, NC
ZIP 28607-948
Phone: (828) 264-2340
Fax: (828) 262-0731

The provider's authorized official is Dagher S Dagher .
The authorized official title is Ceo and has the following contact phone number (828) 264-2340.

The enumeration date for this NPI number is 10/14/2005 and was last updated on 4/24/2015.

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	Primary
1	2086S0129X	Surgery	Vascular Surgery	No
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
3	208600000X	Surgery		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	230074	MEDICARE ID-TYPE UNSPECIFIED
2	8902879	MEDICAID	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: 11/21/2025

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