Organization Active NPI

Central Carolina Surgical, PA

  • Surgery Physician
  • Sanford, NC
National Provider Identifier
1255302899
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CENTRAL CAROLINA SURGICAL, PA
Practice address
1139 Carthage St
Suite 110
Sanford, NC 27330-4111
Phone
(919) 775-7232
Fax
(919) 775-1731
NPI assigned
Jan 31, 2006
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Shelia Fish
Title
Office Manager
Phone
(919) 775-7232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary
Urology Physician 208800000X NU

Addresses

Primary practice location

1139 Carthage St
Suite 110
Sanford, NC 27330-4111

Mailing address

1139 Carthage St
Suite 110
Sanford, NC 27330-4111
Phone (919) 775-7232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1255302899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 CARTHAGE ST",
            "address_2": "SUITE 110",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304111",
            "telephone_number": "919-775-7232",
            "fax_number": "919-775-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 CARTHAGE ST",
            "address_2": "SUITE 110",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304111",
            "telephone_number": "919-775-7232",
            "fax_number": "919-775-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA SURGICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-775-7232"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.