NPIMap

Organization Active NPI

Wilmington Surgical Associates PA

  • Specialist
  • Wilmington, NC
National Provider Identifier
1003821547
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WILMINGTON SURGICAL ASSOCIATES PA
Practice address
2739 Iron Gate Dr
Wilmington, NC 28412-3731
Phone
(910) 763-7363
Fax
(910) 251-8296
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Chad Martin
Title
Practice Administrator
Phone
(910) 763-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2739 Iron Gate Dr
Wilmington, NC 28412-3731

Mailing address

2739 Iron Gate Dr
Wilmington, NC 28412-3731
Phone (910) 763-7363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000260 NC Part B Supplier - Clinic/Group Practice 0749186575 Receives reassigned benefits from 10 practitioners
Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFAIBD
  • FHIR API: https://api.platform.athenahealth.com/11560/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1003821547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 IRON GATE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123731",
            "telephone_number": "910-763-7363",
            "fax_number": "910-251-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2739 IRON GATE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123731",
            "telephone_number": "910-763-7363",
            "fax_number": "910-251-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-763-7363"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.