NPIMap

Organization Active NPI

Hickory Plastic Surgery Center

  • Plastic Surgery Physician
  • Hickory, NC
National Provider Identifier
1003075599
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
220800887 Issued in NC
Legal business name
HICKORY PLASTIC SURGERY CENTER
Practice address
50 13TH Ave NE
Suite 2-B
Hickory, NC 28601-3764
Phone
(828) 322-8380
Fax
(828) 328-4967
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven A Siciliano, MCNPI 1942247655
Title
Medical Director
Phone
(828) 322-8380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 220800887 NC Primary

Addresses

Primary practice location

50 13TH Ave NE
Suite 2-B
Hickory, NC 28601-3764

Mailing address

50 13TH Ave NE
Suite 2-B
Hickory, NC 28601-3764
Phone (828) 322-8380

National Provider Directory

National Provider Directory

Locations

50 13th Ave NE
Ste 2B
Hickory, NC 28601
Phone (828) 322-8380

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1003075599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 13TH AVE NE",
            "address_2": "SUITE 2-B",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013764",
            "telephone_number": "828-322-8380",
            "fax_number": "828-328-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 13TH AVE NE",
            "address_2": "SUITE 2-B",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013764",
            "telephone_number": "828-322-8380",
            "fax_number": "828-328-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "SICILIANO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "828-322-8380",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "220800887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.