Active NPI
Piedmont Neurosurgery & Spine, PA
- Specialist
- Salisbury, NC
National Provider Identifier
1871559237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2010
- 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
- Ms. Angela P Sywenki
- Title
- Office Manager
- Phone
- (704) 645-0901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012G2 | Other | NC | BCBS OF NC PROVIDER NUMBE |
| 89012G2 | Medicaid | NC | |
| CH8673 | Other | NC | RRMED/'RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurological Surgery Physician
- Johnstown, PA
- NPI 1952395329
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
- Piedmont Eye Physicians and Surgeons, PA
- Piedmont Family Medicine, P.a.
- Piedmont Foot and Ankle Care
- Piedmont Health & Rehab Center, LLC
- Piedmont Interventional Pain Care, PA
- Piedmont Plastic & Oral Surgery Center
- Piedmont Radiological Associates, P.a.
- Piedmont Stone Center
- Stephanie Georgia Pierce, LPC, CSAC
- Kelli Anne Pitman, OTRL
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.