Organization Active NPI

Pinehurst Plastic Surgery Specialists, P.a.

  • Plastic and Reconstructive Surgery Physician
  • Pinehurst, NC
National Provider Identifier
1437349636
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
37982 Issued in NC
Legal business name
PINEHURST PLASTIC SURGERY SPECIALISTS, P.A.
Practice address
20 Memorial Drive
Pinehurst, NC 28374
Phone
(910) 295-1917
Fax
(910) 295-1481
NPI assigned
Jul 25, 2007
Last updated
Mar 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Steven Mark Zoellner, M.D.NPI 1184739559
Title
President
Phone
(910) 295-1917

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 14261 NC
Plastic and Reconstructive Surgery Physician 2086S0122X 37982 NC Primary

Addresses

Primary practice location

20 Memorial Drive
Pinehurst, NC 28374

Mailing address

20 Memorial Drive
Pinehurst, NC 28374
Phone (910) 295-1917

Other identifiers 1

IdentifierTypeStateIssuer
5900367MedicaidNC

National Provider Directory

National Provider Directory

Locations

20 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-1917

20 Memorial Dr
#A
Pinehurst, NC 28374
Phone (910) 295-1917

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1437349636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEMORIAL DRIVE",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-1917",
            "fax_number": "910-295-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEMORIAL DRIVE",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-1917",
            "fax_number": "910-295-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST PLASTIC SURGERY SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "ZOELLNER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-295-1917",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "14261",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "37982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900367",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.