Center for Facial Plastic and Laser Surgery

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

32239 Issued in NC

Legal business name

CENTER FOR FACIAL PLASTIC AND LASER SURGERY

Practice address

11220 Elm Lane
Suite 101
Charlotte, NC 28277

Phone

(704) 543-1110

Fax

(704) 543-0898

NPI assigned

Sep 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Sean Freeman, MDNPI 1205995602

Title

President

Phone

(704) 543-1110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• M Sean Freeman MD Other name

Locations

Practitioners 1

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.

• Michael Sean Freeman, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Charlotte, NC
  • NPI 1205995602
  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417052986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 ELM LANE",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-543-1110",
            "fax_number": "704-543-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 ELM LANE",
            "address_2": "SUITE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-543-1110",
            "fax_number": "704-543-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FACIAL PLASTIC AND LASER SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-543-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NC",
            "license": "32239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CROSS BLUE SHIE",
            "identifier": "33874",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Sean Freeman MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zachary Cenfetelli, PHARMD
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• Center for Creativity & Healing, PC
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• Otolaryngology/Facial Plastic Surgery Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Otolaryngology/Facial Plastic Surgery Physician in North Carolina

• 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.

Verify at the official NPI Registry.