Organization Active NPI

Harborview Plastic Surgery and Neurology

  • Specialist
  • Cornelius, NC
National Provider Identifier
1407811045
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HARBORVIEW PLASTIC SURGERY AND NEUROLOGY
Practice address
19615 Liverpool Pkwy
Suite a
Cornelius, NC 28031-4039
Phone
(704) 896-5806
Fax
(704) 896-5809
NPI assigned
Apr 18, 2006
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Dr. Jean-Pierre Alain Riou, M.D.NPI 1386641942
Title
Vice-President
Phone
(704) 896-5806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

19615 Liverpool Pkwy
Suite a
Cornelius, NC 28031-4039

Mailing address

19615 Liverpool Pkwy
Suite a
Cornelius, NC 28031-4039
Phone (704) 896-5806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111119000124 NC Part B Supplier - Clinic/Group Practice 5092989525 Receives reassigned benefits from 1 practitioner
Practice locations: Cornelius, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0983308Harborview Plastic Surgery19615 Liverpool Parkway, Cornelius, NC 28031Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

19615 Liverpool Pkwy
Ste A
Cornelius, NC 28031
Phone (704) 280-4420

20476 Chartwell Center Dr
Ste A
Cornelius, NC 28031
Phone (704) 895-8117

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1407811045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19615 LIVERPOOL PKWY",
            "address_2": "SUITE A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314039",
            "telephone_number": "704-896-5806",
            "fax_number": "704-896-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19615 LIVERPOOL PKWY",
            "address_2": "SUITE A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314039",
            "telephone_number": "704-896-5806",
            "fax_number": "704-896-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORVIEW PLASTIC SURGERY AND NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "RIOU",
        "authorized_official_first_name": "JEAN-PIERRE",
        "authorized_official_middle_name": "ALAIN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "704-896-5806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.