NPIMap

Organization Active NPI

Evolve Medical Spa PLLC

  • Multi-Specialty Clinic/Center
  • Smithfield, NC
National Provider Identifier
1194140129
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
31119 Issued in NC
Legal business name
EVOLVE MEDICAL SPA PLLC
Practice address
101 E Market St Ste 3C
Smithfield, NC 27577-3981
Phone
(919) 205-1376
Fax
(919) 205-1378
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dr. Nitzan Daniel Catz, MDNPI 1861464422
Title
President/Owner
Phone
(919) 934-0948

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
Multi-Specialty Clinic/Center 261QM1300X 31119 NC Primary

Addresses

Primary practice location

101 E Market St Ste 3C
Smithfield, NC 27577-3981

Mailing address

PO Box 571
Smithfield, NC 27577-0571
Phone (919) 934-0948

National Provider Directory

National Provider Directory

Locations

101 E Market St
Ste 3C
Smithfield, NC 27577
Phone (919) 205-1376

Practitioners & affiliated clinicians

Practitioners 7

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": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1194140129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770571",
            "telephone_number": "919-934-0948",
            "fax_number": "919-934-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MARKET ST STE 3C",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275773981",
            "telephone_number": "919-205-1376",
            "fax_number": "919-205-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE MEDICAL SPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "CATZ",
        "authorized_official_first_name": "NITZAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "919-934-0948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "31119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.