Active NPI
Quality Surgical Management PA
- Surgery Physician
- Raleigh, NC
National Provider Identifier
1699163279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- QUALITY SURGICAL MANAGEMENT PA
- Practice address
- 160 Mine Lake CT Ste 200
Raleigh, NC 27615-6417 - Phone
- (305) 466-9988
- Fax
- (305) 466-9989
- NPI assigned
- Jan 5, 2015
- 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
- David Lotz
- Title
- Chief Operating Officer
- Phone
- (305) 466-9988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
160 Mine Lake CT Ste 200
Raleigh, NC 27615-6417
Mailing address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988
Other practice location 1
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988
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.
-
- Surgery Physician
- Hollywood, FL
- NPI 1568428266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555459200000",
"number": "1699163279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S OCEAN DR STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192915",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MINE LAKE CT STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156417",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
}
],
"practiceLocations": [
{
"address_1": "3800 S Ocean Dr Ste 209",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330192915",
"country_code": "US",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "QUALITY SURGICAL MANAGEMENT PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-05",
"last_updated": "2019-04-17",
"status": "A",
"authorized_official_last_name": "LOTZ",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "305-466-9988"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.