Organization Active NPI

Triad Surgical Associates, P.a.

  • Specialist
  • Winston-Salem, NC
National Provider Identifier
1669477105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TRIAD SURGICAL ASSOCIATES, P.A.
Practice address
2933 Maplewood Ave
Ste 4
Winston-Salem, NC 27103-4001
Phone
(336) 765-0155
Fax
(336) 765-5494
NPI assigned
Jun 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Luann F. Steele
Title
Office Manager
Phone
(336) 765-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2933 Maplewood Ave
Ste 4
Winston-Salem, NC 27103-4001

Mailing address

2933 Maplewood Ave
Ste 4
Winston-Salem, NC 27103-4001
Phone (336) 765-0155

Other identifiers 1

IdentifierTypeStateIssuer
0283MMedicaidNC

National Provider Directory

National Provider Directory

Locations

2933 Maplewood Ave
Ste 4
Winston Salem, NC 27103
Phone (336) 765-0155

1900 S Hawthorne Rd
Ste 480
Winston Salem, NC 27103
Phone (336) 765-0155

Practitioners & affiliated clinicians

Practitioners 2

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": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669477105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 MAPLEWOOD AVE",
            "address_2": "STE 4",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034001",
            "telephone_number": "336-765-0155",
            "fax_number": "336-765-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 MAPLEWOOD AVE",
            "address_2": "STE 4",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271034001",
            "telephone_number": "336-765-0155",
            "fax_number": "336-765-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD SURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "LUANN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-765-0155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.