Metroview Vascular and Surgical Specialists, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

9600205 Issued in NC

Legal business name

METROVIEW VASCULAR AND SURGICAL SPECIALISTS, PA

Practice address

825 Majestic CT Ste F
Gastonia, NC 28054-5190

Phone

(704) 864-6500

Fax

(704) 864-0104

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Augustine R Eze, M.D.NPI 1992703813

Title

President

Phone

(704) 864-6500

Specialties & licenses 1

Addresses

Other identifiers 5

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.

• Augustine R Eze, MD

  • Surgery Physician
  • Gastonia, NC
  • NPI 1992703813
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1366437915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550490",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280550490",
            "telephone_number": "704-864-6500",
            "fax_number": "704-864-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MAJESTIC CT STE F",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545190",
            "telephone_number": "704-864-6500",
            "fax_number": "704-864-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROVIEW VASCULAR AND SURGICAL SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-864-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9600205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "16674",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1036M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900575",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7152565",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "NPA752",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kelly Meriac, PH. D.
• Elizabeth Summer Merritt, OTR/L
• Metanoia Mind and Wellness PLLC
• Cassidy Metchear, OTR/L
• Metro Treatment of North Carolina L P
• Scott Alan Meyer, CO
• Abdul Rahman Miah, MD
• Mark Miceli, DPM
• Michael E Arlin DDS PA
• Michael O Reimels DDS & Catherine K Schneider DDS PLLC

• Specialist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.