Central Carolina Surgery, P.a.
Organization Active NPI Surgery Physician · Greensboro, NC
NPI 1821050451 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1821050451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 39790 (NC)
- Legal business name
- CENTRAL CAROLINA SURGERY, P.A.
- Practice address
- 1002 N Church St
Ste. 302
Greensboro, NC 27401-1439 - Phone
- (336) 387-8100
- Fax
- (336) 387-8202
- NPI assigned
- Apr 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Matthew K Tsuei, M.D.
- Title
- VP
- Phone
- (336) 387-8100
Practitioners 16
-
Kendra Paige Hogan, PA-C
-
Gregory Metzger, MD
-
Megan Nichole Baird, PA-C
-
Amber L Allen, M.D.
-
Lynn D Brown, P.A.
-
Allison Ellis, N.P.
-
Michael Jennings Jeffery, PA-C
-
Michael R. Leone, M.D.
-
Christian J Streck, M.D.
-
William J. Weatherly, M.D.
-
Peter R. Young, M.D.
-
Brian D Layton, DO
National Provider Directory
Locations
1680 Westbrook Ave
Burlington, NC 27215
Phone (336) 387-8100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 39790 | NC | Yes |
Addresses
Primary practice location
1002 N Church St
Ste. 302
Greensboro, NC 27401-1439
Mailing address
1002 N Church St
Ste. 302
Greensboro, NC 27401-1439
Phone (336) 387-8100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890283N | Medicaid | NC |
NPI Registry JSON
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599696000000",
"number": "1821050451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 N CHURCH ST",
"address_2": "STE. 302",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011439",
"telephone_number": "336-387-8100",
"fax_number": "336-387-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 N CHURCH ST",
"address_2": "STE. 302",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011439",
"telephone_number": "336-387-8100",
"fax_number": "336-387-8202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CAROLINA SURGERY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A",
"authorized_official_last_name": "TSUEI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "336-387-8100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "NC",
"license": "39790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890283N",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Centerwell Senior Primary Care (NC), P.C.
- Central Carolina Counseling Associates, PLLC
- Central Carolina Health Network
- Central Carolina OB/GYN
- Central Carolina Obstetrics & Gynecology PLLC
- Central Carolina Surgical Eye Associates, P.a.
- Central State of the Carolinas
- Central State of the Carolinas, in.C
- Central State of the Carolinas, Inc.
- Central State of the Carolinas, Inc.
All providers in Greensboro, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.