Organization Active NPI

Carolina Craniospinal Neurosurgery, LLC

  • Neurological Surgery Physician
  • New Bern, NC
National Provider Identifier
1831142553
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0170QOtherNCBLUE CROSS BLUE SHIELD
890170QMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000773 NC Part B Supplier - Clinic/Group Practice 8123107810 Receives reassigned benefits from 2 practitioners
Practice locations: New Bern, NC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.