NPIMap

Organization Active NPI

Central Carolina Surgery, P.a.

  • Surgery Physician
  • Greensboro, NC
National Provider Identifier
1821050451
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39790 Issued in 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
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Matthew K Tsuei, M.D.NPI 1942275276
Title
VP
Phone
(336) 387-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 39790 NC Primary

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

National Provider Directory

National Provider Directory

Locations

1002 N Church St
Ste 302
Greensboro, NC 27401
Phone (336) 387-8100

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.