Organization Active NPI

Clinton Surgical PLLC

Doing business as Clinton Surgical Associates PLLC

  • Surgery Physician
  • Clinton, NC
National Provider Identifier
1205247970
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9800724 Issued in NC
Legal business name
CLINTON SURGICAL PLLC
Doing business as
Clinton Surgical Associates PLLC
Practice address
603 Beaman St Ste 200
Clinton, NC 28328-2647
Phone
(910) 592-8711
Fax
(910) 592-6239
NPI assigned
May 15, 2014
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Dr. Michael Arthur Valenti, M.D.NPI 1275596017
Title
Owner
Phone
(910) 592-8711

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
Surgery Physician 208600000X 9800724 NC Primary

Addresses

Primary practice location

603 Beaman St Ste 200
Clinton, NC 28328-2647

Mailing address

603 Beaman St Ste 200
Clinton, NC 28328-2647
Phone (910) 592-8711

Other names 1

  • Clinton Surgical Associates PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911001214 NC Part B Supplier - Clinic/Group Practice 0547489262 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1205247970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST STE 200",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282647",
            "telephone_number": "910-592-8711",
            "fax_number": "910-592-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST STE 200",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282647",
            "telephone_number": "910-592-8711",
            "fax_number": "910-592-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON SURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "VALENTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-592-8711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9800724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Surgical Associates PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.