Organization Active NPI

Goldsboro Neurological Surgery, PA

  • Neurological Surgery Physician
  • Goldsboro, NC
National Provider Identifier
1053364083
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
65701 Issued in NC
Legal business name
GOLDSBORO NEUROLOGICAL SURGERY, PA
Practice address
625 Country Day Rd
Goldsboro, NC 27530-8888
Phone
(919) 731-4048
Fax
(919) 731-2402
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Barry Irving Katz, M.D.NPI 1467408641
Title
President
Phone
(919) 731-4048

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 65701 NC Primary

Addresses

Primary practice location

625 Country Day Rd
Goldsboro, NC 27530-8888

Mailing address

625 Country Day Rd
Goldsboro, NC 27530-8888
Phone (919) 731-4048

Other identifiers 3

IdentifierTypeStateIssuer
0293XOtherNCBLUE CROSS BLUE SHIELD
790293XMedicaidNC
DD2259OtherNCMEDICARE RR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1053364083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COUNTRY DAY RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275308888",
            "telephone_number": "919-731-4048",
            "fax_number": "919-731-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COUNTRY DAY RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275308888",
            "telephone_number": "919-731-4048",
            "fax_number": "919-731-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSBORO NEUROLOGICAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-731-4048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "65701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0293X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790293X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DD2259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.