NPIMap

Organization Active NPI

Nova Neurosurgical, P a

  • Specialist
  • Greensboro, NC
National Provider Identifier
1437140647
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NOVA NEUROSURGICAL, P A
Practice address
1130 N Church St
Suite 200
Greensboro, NC 27401-1008
Phone
(336) 272-4578
Fax
(336) 272-5931
NPI assigned
Nov 4, 2005
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Robin Young
Title
Practice Administrator
Phone
(336) 272-4578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1130 N Church St
Suite 200
Greensboro, NC 27401-1008

Mailing address

PO Box 4428
Greensboro, NC 27404-4428
Phone (336) 272-4578

Other identifiers 2

IdentifierTypeStateIssuer
8902400MedicaidNC
02400OtherNCBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1313 Carolina St
Ste 300
Greensboro, NC 27401
Phone (336) 272-4578

Practitioners & affiliated clinicians

Practitioners 12

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": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1437140647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4428",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274044428",
            "telephone_number": "336-272-4578",
            "fax_number": "336-272-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N CHURCH ST",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011008",
            "telephone_number": "336-272-4578",
            "fax_number": "336-272-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA NEUROSURGICAL, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-272-4578"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902400",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.