Organization Active NPI

Piedmont Neurosurgery & Spine, PA

  • Specialist
  • Salisbury, NC
National Provider Identifier
1871559237
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PIEDMONT NEUROSURGERY & SPINE, PA
Practice address
330 Jake Alexander Blvd W
Suite 104
Salisbury, NC 28147-1384
Phone
(704) 645-0901
Fax
(704) 645-0907
NPI assigned
Apr 25, 2006
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Ms. Angela P Sywenki
Title
Office Manager
Phone
(704) 645-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

330 Jake Alexander Blvd W
Suite 104
Salisbury, NC 28147-1384

Mailing address

330 Jake Alexander Blvd W
Suite 104
Salisbury, NC 28147-1384
Phone (704) 645-0901

Other identifiers 3

IdentifierTypeStateIssuer
012G2OtherNCBCBS OF NC PROVIDER NUMBE
89012G2MedicaidNC
CH8673OtherNCRRMED/'RAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

102 Mocksville Ave
Ste 205
Salisbury, NC 28144
Phone (704) 645-0901

330 Jake Alexander Blvd W
Ste 104
Salisbury, NC 28147
Phone (704) 645-0901

Practitioners & affiliated clinicians

Practitioners 1

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": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1871559237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE 104",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471384",
            "telephone_number": "704-645-0901",
            "fax_number": "704-645-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 JAKE ALEXANDER BLVD W",
            "address_2": "SUITE 104",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471384",
            "telephone_number": "704-645-0901",
            "fax_number": "704-645-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT NEUROSURGERY & SPINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "SYWENKI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-645-0901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER NUMBE",
            "identifier": "012G2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012G2",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMED/'RAILROAD MEDICARE",
            "identifier": "CH8673",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.