Active NPI
Louie L. Patseavouras, M.D.P.a.
- Specialist
- Greensboro, NC
National Provider Identifier
1619901691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 39076
- Legal business name
- LOUIE L. PATSEAVOURAS, M.D.P.A.
- Doing business as
- PATSEAVOURAS CENTER FOR PLASTIC & LASER SURGERY
- Practice address
- 522 N Elam Ave
Suite 202
Greensboro, NC 27403-1151 - Phone
- (336) 299-4907
- Fax
- (336) 292-9423
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louie Lee Patseavouras, M.D.
- Title
- Owner
- Phone
- (336) 299-4907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 39076 | NC | Primary |
Addresses
Primary practice location
522 N Elam Ave
Suite 202
Greensboro, NC 27403-1151
Mailing address
522 N Elam Ave
Suite 202
Greensboro, NC 27403-1151
Phone (336) 299-4907
Other names 1
- PATSEAVOURAS CENTER FOR PLASTIC & LASER SURGERY
National Provider Directory
National Provider DirectoryLocations
522 N Elam Ave
Ste 202
Greensboro, NC 27403
Phone (336) 299-4907
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Dover, NH
- NPI 1215981543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1619901691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 N ELAM AVE",
"address_2": "SUITE 202",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031151",
"telephone_number": "336-299-4907",
"fax_number": "336-292-9423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 N ELAM AVE",
"address_2": "SUITE 202",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274031151",
"telephone_number": "336-299-4907",
"fax_number": "336-292-9423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUIE L. PATSEAVOURAS, M.D.P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "PATSEAVOURAS",
"authorized_official_first_name": "LOUIE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-299-4907",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "39076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PATSEAVOURAS CENTER FOR PLASTIC & LASER SURGERY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.