Organization Active NPI

Louie L. Patseavouras, M.D.P.a.

  • Specialist
  • Greensboro, NC
National Provider Identifier
1619901691
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39076 Issued in NC
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

Updated by the provider on Sep 23, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.