Active NPI
Neurosurgical Associates, P.C.
- Neurological Surgery Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEUROSURGICAL ASSOCIATES, P.C.
- Practice address
- 4201 Lake Boone TRL
Ste 202
Raleigh, NC 27607-7512 - Phone
- (919) 235-0500
- Fax
- (919) 235-0505
- NPI assigned
- Feb 22, 2006
- Last updated
- Dec 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel K St Clair, MD
- Title
- Owner
- Phone
- (919) 235-0500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL
Ste 202
Raleigh, NC 27607-7512
Mailing address
4201 Lake Boone TRL
Ste 202
Raleigh, NC 27607-7512
Phone (919) 235-0500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4063806 | Other | NC | AETNA |
| 0605385 | Other | NC | UNITED HEALTHCARE |
| 97486 | Other | NC | MEDCOST |
| 2070150 | Other | NC | FIRST HEALTH |
| 011GA | Other | NC | BCBS OF NC |
| 706943 | Other | NC | CHOICE CARE NETWORK |
| 89011GA | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
4201 Lake Boone Trl
Ste 202
Raleigh, NC 27607
Phone (919) 235-0050
508 Carthage St
Sanford, NC 27330
Phone (919) 235-0500
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Neurological Surgery Physician
- Raleigh, NC
- NPI 1073588000
-
- Physician Assistant
- Raleigh, NC
- NPI 1285724054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292976000000",
"number": "1144295270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "STE 202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-235-0500",
"fax_number": "919-235-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "STE 202",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-235-0500",
"fax_number": "919-235-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSURGICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-22",
"last_updated": "2010-12-22",
"status": "A",
"authorized_official_last_name": "ST CLAIR",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-235-0500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4063806",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0605385",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "97486",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2070150",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "011GA",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE NETWORK",
"identifier": "706943",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89011GA",
"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 Dec 22, 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.