Active NPI
Gastonia Surgical Associates, P.a.
- Surgery Physician
- Gastonia, NC
National Provider Identifier
1376560227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- GASTONIA SURGICAL ASSOCIATES, P.A.
- Practice address
- 2544 Court Dr
Suite G
Gastonia, NC 28054-3450 - Phone
- (704) 864-7821
- Fax
- (704) 865-0519
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Denise P Thomas
- Title
- Administrator
- Phone
- (704) 864-7821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2544 Court Dr
Suite G
Gastonia, NC 28054-3450
Mailing address
2544 Court Dr
Suite G
Gastonia, NC 28054-3450
Phone (704) 864-7821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901622 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376560227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2544 COURT DR",
"address_2": "SUITE G",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543450",
"telephone_number": "704-864-7821",
"fax_number": "704-865-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 COURT DR",
"address_2": "SUITE G",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543450",
"telephone_number": "704-864-7821",
"fax_number": "704-865-0519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTONIA SURGICAL ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "704-864-7821",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901622",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- Gastonia Opco, LLC (Gastonia Healthcare and Rehabilitation Center)
- Gastonia Operating Al, LLC (Wellington House)
- Gastonia Pediatric Associates, PA
- Gastonia Physician Services, PLLC
- Gastonia Spine & Sport, P.a.
- Gastonia Wellness & Long Term Care PA
- Michael Gause, LCAS-A, LCSW-A
- Kimberley Gayhart
- Taylor Gazdeck
- Bolanle Mariam Gbadamosi, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.