Active NPI
Carolina Craniospinal Neurosurgery, LLC
- Neurological Surgery Physician
- New Bern, NC
National Provider Identifier
1831142553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- CAROLINA CRANIOSPINAL NEUROSURGERY, LLC
- Practice address
- 700A McCarthy Blvd
New Bern, NC 28560 - Phone
- (252) 638-4500
- Fax
- (252) 637-2372
- NPI assigned
- May 17, 2006
- Last updated
- Jul 25, 2008
- 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
- Mrs. Lisa Norton
- Title
- Office Manager
- Phone
- (252) 637-9773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
700A McCarthy Blvd
New Bern, NC 28560
Mailing address
700A McCarthy Blvd
New Bern, NC 28560
Phone (252) 638-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0170Q | Other | NC | BLUE CROSS BLUE SHIELD |
| 890170Q | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2111 Neuse Blvd
New Bern, NC 28560
Phone (252) 636-0300
2111 Neuse Blvd
Ste A
New Bern, NC 28560
Phone (252) 638-4500
Practitioners & affiliated clinicians
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.
-
- Specialist
- New Bern, NC
- NPI 1265473516
-
- Specialist
- New Bern, NC
- NPI 1912956293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1831142553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700A MCCARTHY BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28560",
"telephone_number": "252-638-4500",
"fax_number": "252-637-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700A MCCARTHY BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "28560",
"telephone_number": "252-638-4500",
"fax_number": "252-637-2372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA CRANIOSPINAL NEUROSURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "NORTON",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "252-637-9773",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0170Q",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890170Q",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.