Carolina Surgical Specialists, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CAROLINA SURGICAL SPECIALISTS, PA

Practice address

1220 Walter Reed Rd
Suite 102
Fayetteville, NC 28304-4430

Phone

(910) 426-2224

Fax

(910) 826-2228

NPI assigned

Dec 2, 2005

Last updated

Aug 8, 2014By 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. Obinna Chukwudi Igwilo, M.D.NPI 1790954352

Title

President

Phone

(910) 426-2224

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Obinna Chukwudi Igwilo, M.D.

  • Surgery Physician
  • Fayetteville, NC
  • NPI 1790954352
  Authorized official Same address or phone

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1457335507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 WALTER REED RD",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044430",
            "telephone_number": "910-426-2224",
            "fax_number": "910-826-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WALTER REED RD",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044430",
            "telephone_number": "910-426-2224",
            "fax_number": "910-826-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SURGICAL SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "IGWILO",
        "authorized_official_first_name": "OBINNA",
        "authorized_official_middle_name": "CHUKWUDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-426-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128RX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Residential Services
• Carolina Residential Services, Inc
• Carolina Residential Services, Inc.
• Carolina Rheumatology & Internal Medicine, PA
• Carolina Sun Counseling Services PLLC
• Carolina Treatment Center
• Carolina Urgent & Family Care P.a.
• Carolina Vascular Institute PA
• Ansley Carpenter
• Ashiya Carpenter

• Surgery Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.