Organization Active NPI

Halvorson Plastic Surgery, PA

  • Ambulatory Surgical Clinic/Center
  • Asheville, NC
National Provider Identifier
1689118093
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
NCAP00001004 Issued in NC
Legal business name
HALVORSON PLASTIC SURGERY, PA
Practice address
5 Livingston St
Asheville, NC 28801-4407
Phone
(828) 218-9344
NPI assigned
Dec 5, 2016
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Dr. Eric Glenn Halvorson, MDNPI 1316963879
Title
President
Phone
(919) 259-9128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NCAP00001004 NC Primary
Ambulatory Surgical Clinic/Center 261QA1903X BP5921526 NC

Addresses

Primary practice location

5 Livingston St
Asheville, NC 28801-4407

Mailing address

5 Livingston St
Asheville, NC 28801-4407
Phone (828) 218-9344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170516000601 NC Part B Supplier - Clinic/Group Practice 4385921659 Receives reassigned benefits from 1 practitioner
Practice locations: Asheville, NC

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": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1689118093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LIVINGSTON ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014407",
            "telephone_number": "828-218-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LIVINGSTON ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014407",
            "telephone_number": "828-218-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALVORSON PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-259-9128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "NCAP00001004",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "BP5921526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.