NPIMap

Organization Active NPI

Stillwater Plastic Surgery, PA

  • Plastic Surgery Physician
  • Huntersville, NC
National Provider Identifier
1346205135
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Peter Joseph Capizzi, MDNPI 1154386837
Title
MGR
Phone
(704) 655-8988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 9700210 NC Primary

Addresses

Primary practice location

8712 Lindholm Dr
Suite 308
Huntersville, NC 28078-1870

Mailing address

8712 Lindholm Dr
Suite 308
Huntersville, NC 28078-1870
Phone (704) 655-8988

National Provider Directory

National Provider Directory

Locations

8712 Lindholm Dr
Ste 308
Huntersville, NC 28078
Phone (704) 655-8988

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • 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.