Organization Active NPI

Lumberton Surgical Associates PA

  • Specialist
  • Lumberton, NC
National Provider Identifier
1659377067
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LUMBERTON SURGICAL ASSOCIATES PA
Practice address
3001 N Elm St
Lumberton, NC 28358-2984
Phone
(910) 738-8556
Fax
(910) 738-2275
NPI assigned
Jun 22, 2005
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Peter L Villani, MDNPI 1568412401
Title
President
Phone
(910) 738-8556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

3001 N Elm St
Lumberton, NC 28358-2984

Mailing address

3001 N Elm St
Lumberton, NC 28358-2984
Phone (910) 738-8556

Other identifiers 1

IdentifierTypeStateIssuer
8902041MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1659377067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582984",
            "telephone_number": "910-738-8556",
            "fax_number": "910-738-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582984",
            "telephone_number": "910-738-8556",
            "fax_number": "910-738-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMBERTON SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "VILLANI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-738-8556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.