The Foot Surgery Center of North Carolina

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

AS0063 Issued in NC

Legal business name

THE FOOT SURGERY CENTER OF NORTH CAROLINA

Doing business as

Piedmont Surgical Center

Practice address

7819 National Service Road
Suite 404
Greensboro, NC 27409-9401

Phone

(336) 664-0333

Fax

(336) 664-0447

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Robert J Cosgrove, MD

Title

Ceo/Owner

Phone

(336) 420-4658

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Piedmont Surgical Center Doing business as

Locations

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1447228689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 NATIONAL SERVICE ROAD",
            "address_2": "SUITE 404",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099401",
            "telephone_number": "336-664-0333",
            "fax_number": "336-664-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 NATIONAL SERVICE ROAD",
            "address_2": "SUITE 404",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099401",
            "telephone_number": "336-664-0333",
            "fax_number": "336-664-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOT SURGERY CENTER OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "COSGROVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "336-420-4658",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "AS0063",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409906",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot Surgery Podiatrist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Foot Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.