NPIMap

Organization Active NPI

Carolina Surgery and Cancer Center

  • Specialist
  • Hickory, NC
National Provider Identifier
1124083753
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9501318 Issued in NC
Legal business name
CAROLINA SURGERY AND CANCER CENTER
Practice address
1501 Tate Blvd SE
Hickory, NC 28602-4243
Phone
(828) 485-2707
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Ms. Deborah Hume Graves
Title
Practice Administrator
Phone
(828) 485-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9501318 NC Primary

Addresses

Primary practice location

1501 Tate Blvd SE
Hickory, NC 28602-4243

Mailing address

1501 Tate Blvd SE
Suite 202
Hickory, NC 28602-4243
Phone (828) 485-2707

Other identifiers 2

IdentifierTypeStateIssuer
891364MMedicaidNC
8952429MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1124083753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 TATE BLVD SE",
            "address_2": "SUITE 202",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024243",
            "telephone_number": "828-485-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 TATE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024243",
            "telephone_number": "828-485-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SURGERY AND CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "HUME",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "828-485-2707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9501318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891364M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8952429",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.