Capital Surgical Specialists, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CAPITAL SURGICAL SPECIALISTS, PA

Practice address

1501 N Bickett Blvd
Suite a
Louisburg, NC 27549-2178

Phone

(919) 496-1050

Fax

(919) 496-0191

NPI assigned

Jan 30, 2006

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hollis Tidmore, MDNPI 1962473975

Title

President

Phone

(919) 496-1050

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Hollis Tidmore, MD

  • Surgery Physician
  • Houston, MO
  • NPI 1962473975
  NPD (past) Authorized official
• Chad Caldwell, MD

  • Trauma Surgery Physician
  • Hershey, PA
  • NPI 1710957352
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1730150558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N BICKETT BLVD",
            "address_2": "SUITE A",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492178",
            "telephone_number": "919-496-1050",
            "fax_number": "919-496-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BICKETT BLVD",
            "address_2": "SUITE A",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492178",
            "telephone_number": "919-496-1050",
            "fax_number": "919-496-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL SURGICAL SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "TIDMORE",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-496-1050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Burrell-Griffin, CCC-SLP
• Kristin Lorene Byers, LCSW
• Alison Kustra Byrum, OTR/L
• C. Harrison Lancaster, Jr., O.D., P.a. (Louisburg Eye Associates)
• Charis Capehart, OTR/L
• Carebridge Assisted Living
• Carolina Behavioral Care
• Carolina Behavioral Care
• Carolina Physical Therapy Associates LLC (CORA Physical Therapy - Louisburg)
• Carolyn Newell (The Jordan)

• Surgery Physician in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.