Carolinas Skin Center PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CAROLINAS SKIN CENTER PA

Practice address

3315 Springbank Lane
Suite 202
Charlotte, NC 28226

Phone

(704) 997-7070

Fax

(704) 997-7069

NPI assigned

Oct 10, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David John Nowicky, M.D.NPI 1801849609

Title

President

Phone

(980) 254-8405

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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.

• David J Nowicky, MD

  • Plastic Surgery Physician
  • Charlotte, NC
  • NPI 1801849609
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1346790821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LANE",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-997-7070",
            "fax_number": "704-997-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 SPRINGBANK LANE",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-997-7070",
            "fax_number": "704-997-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS SKIN CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "NOWICKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "980-254-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Psychiatric Institute, PLLC (Ritvij Mukeshbhai Satodiya)
• Carolinas Quality Family Services, LLC
• Carolinas Rehabilitation
• Carolinas Rehabilitation
• Carolinas Research Center
• Carolinas Vision Group
• Carolinas Weight Management
• Carolynne's Home Care Services, LLC (Carolynne's Home Care)
• Caromed Inc (Carolina Medical Associates)
• Caromed Inc (Carolina Medical Associates)

• Plastic Surgery Physician in Charlotte, NC
• Providers in Charlotte, 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 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.