Stillwater Plastic Surgery, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

9700210 Issued in NC

Legal business name

STILLWATER PLASTIC SURGERY, PA

Practice address

8712 Lindholm Dr
Suite 308
Huntersville, NC 28078-1870

Phone

(704) 655-8988

Fax

(704) 655-8980

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Peter Joseph Capizzi, MD

Title

MGR

Phone

(704) 655-8988

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1346205135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 LINDHOLM DR",
            "address_2": "SUITE 308",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280781870",
            "telephone_number": "704-655-8988",
            "fax_number": "704-655-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 LINDHOLM DR",
            "address_2": "SUITE 308",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280781870",
            "telephone_number": "704-655-8988",
            "fax_number": "704-655-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "CAPIZZI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "704-655-8988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "9700210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910329",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "10329",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Stevens
• Sharon Stevens, LPCA
• Lissette Lopez Stevermer, LAC
• Christine Marie Stewart, P.T.
• Joseph Shane Stewart, PA
• Stimulate Your Child Developmental Therapy PLLC
• Heidi Katherine Stoddard, NP-C
• Sarah Schuiling Stokas, PAC
• Lauren Avery Stokes
• Leigh Elizabeth Strait, PT

• Plastic Surgery Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.