NPIMap

Organization Active NPI

Horizon Surgical Specialists PA

  • Vascular Surgery Physician
  • Lenoir, NC
National Provider Identifier
1225142011
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
9701115 Issued in NC
Legal business name
HORIZON SURGICAL SPECIALISTS PA
Practice address
401 Mulberry St SW
Ste 101
Lenoir, NC 28645-1648
Phone
(828) 758-5501
Fax
(828) 758-0080
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Peter Nelson Purcell, MDNPI 1932133170
Title
MD Owner
Phone
(828) 758-5501

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 2013-01463 NC
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 9800782 NC
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 9701115 NC Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 8387 NC
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

401 Mulberry St SW
Ste 101
Lenoir, NC 28645-1648

Mailing address

PO Box 1648
401 Mulberry St SW Ste 101
Lenoir, NC 28645-1648
Phone (828) 758-5501

Other identifiers 2

IdentifierTypeStateIssuer
8902545MedicaidNC
CJ4556OtherNCRR MEDICARE

Other names 1

  • Caldwell Surgical Associates PA Former legal business name

National Provider Directory

National Provider Directory

Locations

401 Mulberry St SW
Ste 101
Lenoir, NC 28645
Phone (828) 757-5916

125 Hospital Ave NW
Ste D
Lenoir, NC 28645
Phone (828) 758-5501

125 Hospital Ave NW
Ste 200D
Lenoir, NC 28645

401 Mulberry St SW
Ste 105
Lenoir, NC 28645
Phone (828) 754-2464

Practitioners & affiliated clinicians

Practitioners 11

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1225142011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "address_2": "401 MULBERRY ST SW STE 101",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286451648",
            "telephone_number": "828-758-5501",
            "fax_number": "828-758-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW",
            "address_2": "STE 101",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286451648",
            "telephone_number": "828-758-5501",
            "fax_number": "828-758-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON SURGICAL SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "828-758-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2013-01463",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "9800782",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "9701115",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "8387",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902545",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ4556",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Surgical Associates PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.