Wayne Health Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WAYNE HEALTH SURGICAL ASSOCIATES

Practice address

2811 McLamb PL
Goldsboro, NC 27534-1647

Phone

(919) 738-4114

Fax

(919) 587-0775

NPI assigned

Mar 19, 2013

Organization subpart

Yes

Parent organization

WAYNE HEALTH PHYSICIANSAs reported in NPPES

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

Authorized official

Name

Mr. Clyde Louis Thomas

Title

Executive Director

Phone

(919) 587-4081

Specialties & licenses 2

Addresses

Part of

Wayne Health Physicians

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wayne Health Physicians

  • Clinical Social Worker
  • Goldsboro, NC
  • NPI 1053661066
  NPPES parent name

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1376885277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1717",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275331717",
            "telephone_number": "919-734-1141",
            "fax_number": "919-587-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 MCLAMB PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341647",
            "telephone_number": "919-738-4114",
            "fax_number": "919-587-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE HEALTH SURGICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE HEALTH PHYSICIANS",
        "enumeration_date": "2013-03-19",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-587-4081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Health Family Medicine LLC
• Wayne Health Foundation
• Wayne Health Medical Clinic, LLC
• Wayne Health Physicians
• Wayne Health Physicians
• Wayne Health Urological Associates LLC
• Wayne Health Vascular and Vein Center LLC
• Wayne Heart & Internal Medicine Associates PA
• Wayne Imaging LLC
• Wayne Initiatives for School Health

• Surgery Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.