Surgical Specialists of Charlotte, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

38870 Issued in NC

Legal business name

SURGICAL SPECIALISTS OF CHARLOTTE, P.A.

Practice address

7300 Carmel Executive Park Dr Ste 200
Charlotte, NC 28226-1336

Phone

(704) 916-2108

Fax

(704) 365-2073

NPI assigned

Dec 15, 2005

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie T. Webster III, M.D.NPI 1760468771

Title

President

Phone

(704) 364-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Locations

Practitioners 88

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.

• Bryan Drew Blitstein, MD

  • Surgery Physician
  • Mooresville, NC
  • NPI 1932185626
  Medicare reassignment Care Compare group NPD
• Jason Shade Burgess, MD

  • Surgery Physician
  • Charlotte, NC
  • NPI 1043201361
  Medicare reassignment Care Compare group NPD
• Paul Jay Orland, M.D.

  • Surgery Physician
  • Charlotte, NC
  • NPI 1992747612
  Medicare reassignment Care Compare group NPD
• Leslie Tillotson Webster III, MD

  • Surgery Physician
  • Charlotte, NC
  • NPI 1760468771

  SC

  Medicare reassignment NPD Authorized official
• Nicholas Robert Langan, M.D.

  • Surgery Physician
  • Lancaster, SC
  • NPI 1245525542

  NC

  Medicare reassignment Care Compare group NPD
• Lila Estelle Skropeta, PA-C

  • Physician Assistant
  • Huntersville, NC
  • NPI 1316292337
  Medicare reassignment Care Compare group
• Matthew E. Alter, M.D.

  • Surgery Physician
  • Charlotte, NC
  • NPI 1558367235
  Medicare reassignment NPD
• Aaron Eli Bergsman, M.D.

  • Surgery Physician
  • Huntersville, NC
  • NPI 1720131048

  SC

  Medicare reassignment NPD
• Derek Leroi Best, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1730662149
  Medicare reassignment NPD
• Rohit Ike Bhasin, M.D.

  • Surgery Physician
  • Huntersville, NC
  • NPI 1912983693

  SC

  Medicare reassignment NPD
• Kathryn Lorann Davis, M.D.

  • Vascular Surgery Physician
  • Charlotte, NC
  • NPI 1871791301

  Single Specialty

  Medicare reassignment NPD
• Michael Wade Dobson, D.O.

  • Colon & Rectal Surgery Physician
  • Huntersville, NC
  • NPI 1902028343
  Medicare reassignment NPD

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1073599734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33369",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282333369",
            "telephone_number": "704-333-0741",
            "fax_number": "704-365-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CARMEL EXECUTIVE PARK DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261336",
            "telephone_number": "704-916-2108",
            "fax_number": "704-365-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF CHARLOTTE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-364-8100",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "38870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901293",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shashank Suresh, MD
• Visakha Suresh, MD
• Surgassist PLLC
• Kertrina Surgeon
• Surgical Specialists of Charlotte-University
• Surgical Specialists of Charlotte, P.a.
• Surgical Specialists of Charlotte, PA-Mercy
• Surgical Specialists of Charlotte, PA-Pineville
• Joshua Benjamin Surowitz, MD
• Joelle Sabaj Surprenant, D.C.

• Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.