North Mecklenburg Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

200201133 Issued in NC

Legal business name

NORTH MECKLENBURG PLASTIC SURGERY

Practice address

403 Gilead Rd
Suite B
Huntersville, NC 28078-6813

Phone

(704) 947-8877

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Sheri Nowicky

Title

Vice President

Phone

(704) 947-8877

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1407058555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13729 BRAMBOROUGH RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783719",
            "telephone_number": "704-947-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 GILEAD RD",
            "address_2": "SUITE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786813",
            "telephone_number": "704-947-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MECKLENBURG PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "NOWICKY",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-947-8877"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "200201133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1317V",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5525536",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Charlotte Plastic & Reconstructive Surgery, P.a.
• North Charlotte Plastic Surgery
• North Charlotte Plastic Surgery Associates PA
• North Cross Cardiology PC
• North Cross Pain Center
• Northcross Family Physicians (Atrium Health Primary Care Northcross Family Medicine)
• Northcross Medical Center
• Northcross Medical Center PC
• Northcross Medical Center, P.C.
• Northcross Nephrology Center P.C

• Plastic Surgery Physician in Huntersville, NC
• Providers in Huntersville, 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 Jul 24, 2008; 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.