Piedmont Surgical Clinic, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PIEDMONT SURGICAL CLINIC, PA

Practice address

431 Copperfield Blvd NE
Concord, NC 28025-3035

Phone

(704) 786-1104

Fax

(704) 788-3112

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy S Miller

Title

Office Manager

Phone

(704) 786-1104

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roc Winston Bauman, MD

  • Surgery Physician
  • Concord, NC
  • NPI 1659335685
  NPD (past)
• Andrew Paul Hoffman, M.D.

  • Surgery Physician
  • Mobridge, SD
  • NPI 1104934389
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1407032055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252405",
            "telephone_number": "704-786-1104",
            "fax_number": "704-788-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253035",
            "telephone_number": "704-786-1104",
            "fax_number": "704-788-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SURGICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-786-1104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902422",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piedmont Area MH, DD, and Sa Area Authority
• Piedmont Area MH, DD, and Sa Area Authority
• Piedmont Residential Development Center, Inc
• Piedmont Residential Development Center, Inc
• Piedmont Surgical Clinic, P.a.
• Piedmont Wellness
• Pablo Piedra Prieto, DMD
• Carla Elizabeth Pierce, FNP
• Tammey Sue Pierce
• Tamara Beth Piggott, PA

• Surgery Physician in Concord, NC
• Providers in Concord, 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 Nov 29, 2012; 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.