NPIMap

Organization Active NPI

Tolnitch Surgical Associates, PA

  • General Practice Physician
  • Raleigh, NC
National Provider Identifier
1033171541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
38374 Issued in NC
Legal business name
TOLNITCH SURGICAL ASSOCIATES, PA
Practice address
2301 Rexwoods Dr
Suite 116
Raleigh, NC 27607-3366
Phone
(919) 782-8200
Fax
(919) 781-0440
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lisa Ann Tolnitch, M.D.NPI 1962486514
Title
Owner
Phone
(919) 782-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 38374 NC Primary

Addresses

Primary practice location

2301 Rexwoods Dr
Suite 116
Raleigh, NC 27607-3366

Mailing address

2301 Rexwoods Dr
Suite 116
Raleigh, NC 27607-3366
Phone (919) 782-8200

Other identifiers 2

IdentifierTypeStateIssuer
890210CMedicaidNC
0210COtherNCBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

2301 Rexwoods Dr
Ste 116
Raleigh, NC 27607
Phone (919) 782-8200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033171541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR",
            "address_2": "SUITE 116",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "telephone_number": "919-782-8200",
            "fax_number": "919-781-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 REXWOODS DR",
            "address_2": "SUITE 116",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "telephone_number": "919-782-8200",
            "fax_number": "919-781-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLNITCH SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLNITCH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-782-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "38374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890210C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0210C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.