NPIMap

Organization Active NPI

Carteret Surgical Associates P.a.

Doing business as Carolinas Center for Surgery

  • Orthopaedic Surgery Physician
  • Jacksonville, NC
National Provider Identifier
1306351432
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CARTERET SURGICAL ASSOCIATES P.A.
Doing business as
Carolinas Center for Surgery
Practice address
2145 Country Club Rd Ste 400
Jacksonville, NC 28546-2400
Phone
(910) 939-5759
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CARTERET SURGICAL ASSOCIATES P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Robert Jacob Watson
Title
Credentialist
Phone
(252) 222-5862

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

2145 Country Club Rd Ste 400
Jacksonville, NC 28546-2400

Mailing address

3714 Guardian Ave Ste E
Morehead City, NC 28557-2975
Phone (252) 222-5862

Other names 1

  • Carolinas Center for Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carteret Surgical Associates PA5 organizations share this tax ID, including this one
Part of
Carteret Surgical Associates PA

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1306351432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE STE E",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572975",
            "telephone_number": "252-222-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 COUNTRY CLUB RD STE 400",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285462400",
            "telephone_number": "910-939-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET SURGICAL ASSOCIATES P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARTERET SURGICAL ASSOCIATES P.A.",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CREDENTIALIST",
        "authorized_official_telephone_number": "252-222-5862"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Center for Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.