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MID CAROLINA SURGICAL CLINIC PA NPI 1801001201


NPI Information

NPI: 1801001201
Provider Name: MID CAROLINA SURGICAL CLINIC PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
709B WICKER ST
SANFORD, NC
ZIP 27330
Phone: (919) 775-3321
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MID CAROLINA SURGICAL CLINIC PA is a specialist in Sanford, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID CAROLINA SURGICAL CLINIC PA NPI is 1801001201. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

709B WICKER ST
SANFORD, NC
ZIP 27330-142
Phone: (919) 775-3321
Fax: (919) 774-6974

The provider's authorized official is Michael A Gordon .
The authorized official title is President and has the following contact phone number (919) 775-3321.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 6/19/2008.


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
1174400000XSpecialist13991NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1206715AMEDICARE ID-TYPE UNSPECIFIED
20170COTHERBCBS
38936308MEDICAIDNORTH CAROLINA
436308OTHERBCBS
513991MEDICARE UPINNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.