Active NPI
Lumberton Surgical Associates PA
- Specialist
- Lumberton, NC
National Provider Identifier
1659377067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2010
- 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. Peter L Villani, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902041 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Surgery Physician
- Lumberton, NC
- NPI 1568412401
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
- Lumberton Operating Company LLC (Lumberton Health and Rehabilitation Center)
- Lumberton Radiological Associates, PA
- Lumberton Radiological Associates, PA (Wellness Imaging Center)
- Lumberton Rescue and Emergency Medical Service, Inc
- Lumberton Retirement Community, LLC
- Lumberton Treatment Center LLC
- Lumberton Urology Clinic, P.a.
- Edward Stephen Lyon, CCS, CSAC, CCJP
- Bessie Pacheco Macarilay, PT
- Sylvia Maria Mack, PT
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.