Nowicky Plastic Surgery, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

NOWICKY PLASTIC SURGERY, PA

Practice address

19620 W Catawba Ave
Suite 200
Cornelius, NC 28031-4052

Phone

(704) 947-3331

Fax

(704) 766-3426

NPI assigned

Apr 7, 2010

Last updated

Nov 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl Moriarty

Title

Billing Manager

Phone

(704) 947-3331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1902121528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1644",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280701644",
            "telephone_number": "704-947-3331",
            "fax_number": "704-766-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19620 W CATAWBA AVE",
            "address_2": "SUITE 200",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314052",
            "telephone_number": "704-947-3331",
            "fax_number": "704-766-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWICKY PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "704-947-3331"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Plastic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.