Carolina Surgical Care Associates, P. a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

38982 Issued in NC

Legal business name

CAROLINA SURGICAL CARE ASSOCIATES, P. A.

Practice address

105 Medical Dr
Elizabeth City, NC 27909-3361

Phone

(252) 335-4890

Fax

(252) 335-7836

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Jose Ruiz, MDNPI 1033118518

Title

President

Phone

(252) 335-4890

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Antonio Jose Ruiz, MD

  • Surgery Physician
  • Elizabeth City, NC
  • NPI 1033118518

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1104825694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-335-4890",
            "fax_number": "252-335-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-335-4890",
            "fax_number": "252-335-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SURGICAL CARE ASSOCIATES, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-335-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "38982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901911",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Care and Management LLC (Parkton Place)
• Carolina Coastal Plastic Surgery, PC
• Carolina East Home Care Agency Inc
• Carolina Infinite Therapy PLLC
• Carolina Plastic Surgery Specialists Inc
• Brian Matthew Carroll, CRNA
• Carter Medical Associates
• Barbara Ann Carter, M.D.
• Tiffany Carter
• Kayla Cartwright, RBT

• Specialist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.