Mooresville Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MOORESVILLE SURGICAL ASSOCIATES

Practice address

123 Professional Park Dr
Suite 200
Mooresville, NC 28117

Phone

(704) 663-7905

Fax

(704) 663-5224

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

David L Gish, MD

Title

VP

Phone

(704) 663-7905

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Francis Michael Campbell, MD

  • Surgery Physician
  • Mooresville, NC
  • NPI 1003891326
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790727931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR",
            "address_2": "SUITE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-663-7905",
            "fax_number": "704-663-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR",
            "address_2": "SUITE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-663-7905",
            "fax_number": "704-663-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GISH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "704-663-7905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6902347",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "02347",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mooresville PPM LLC
• Mooresville PPM, LLC
• Mooresville Rescue Squad
• Mooresville Senior Living, LLC
• Mooresville Sports & Physical Therapy, LLC
• Ana Paula Mora
• Amanda Cristina Moraes Aube
• Julie Morais, PHARM.D.
• Daima Morales, APRN
• Ricardo Morales, MPT

• Surgery Physician in Mooresville, NC
• Providers in Mooresville, 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 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.