Individual provider Active NPI

Steven G Folstad, M.D.

  • Emergency Medicine Physician
  • Mooresville, NC
National Provider Identifier
1558314575
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34791 Issued in NC
Practice address
206 Joe V. Knox Avenue
Suite H
Mooresville, NC 28117-8104
Phone
(424) 488-3467
Fax
(704) 660-1396
NPI assigned
May 19, 2006
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 34791 NC
Emergency Medicine Physician 207P00000X 34791 NC Primary

Addresses

Primary practice location

206 Joe V. Knox Avenue
Suite H
Mooresville, NC 28117-8104

Mailing address

2029 Colony Pines Dr
Leland, NC 28451-6470
Phone (704) 617-9974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000676 NC Practitioner - Emergency Medicine 5698743227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Baylor College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34791NCMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington ASC LLC CurrentSince Feb 20, 2024 Accepting new patients
Wilmington Health PLLC CurrentSince Feb 20, 2024 Accepting new patients

Locations

1099 Medical Center Dr
Ste 201
Wilmington, NC 28401
Phone (910) 251-9444

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Interoperability endpoints

  • Direct secure messaging: steven.folstad.p1@direct.wilmingtonhealth.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1558314575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 COLONY PINES DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516470",
            "telephone_number": "704-617-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 JOE V. KNOX AVENUE",
            "address_2": "SUITE H",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178104",
            "telephone_number": "424-488-3467",
            "fax_number": "704-660-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSTAD",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NC",
            "license": "34791",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "34791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.