Sean Patrick Nassoiy, D.O.
Individual provider Active NPI Surgery Physician · Wilmington, NC
NPI 1902148265 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1902148265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 2022-02284 (NC)
- Practice address
- 1725 New Hanover Medical Park Dr
Wilmington, NC 28403-5345 - Phone
- (910) 662-9300
- Fax
- (910) 662-9301
- NPI assigned
- Mar 25, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Surgical Oncology
- Education
- Rowan University School of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group Coastal Region LLC
Practice addresses (Care Compare)
1726 New Hanover Medical Park Dr
Wilmington, NC 28403-5344
Phone (910) 662-9384
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Novant Health Brunswick Medical Center
- Pender Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 18 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220916002272 | NC | Practitioner - Surgical Oncology | 3375845662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.062990 | IL | MD | Surgery Physician |
| 2022-02284 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMG Health Services LLC | Current |
Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current |
Accepting new patients | |
| New Hanover Medical Group PA | Past | Accepting new patients |
Locations
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
5505 Currituck Dr
#200
Wilmington, NC 28403
Phone (910) 662-7720
1726 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 662-9384
1725 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 662-9300
Interoperability endpoints
- snassoiy1335908@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125.062990 | IL | |
| Surgery Physician | 208600000X | 2022-02284 | NC | Yes |
Addresses
Primary practice location
1725 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9300
Other practice location 1
2160 S 1st Ave
Loyola University Medical Ctr, 105/2840
Maywood, IL 60153-3328
Phone (708) 327-3436
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Wilmington, NC
- Richard J Nasca
- Marcelo De Araujo Nascimento
- Holly Nash
- Cecilia Rose Nashatizadeh
- Muhammad Jawad Nashatizadeh
- Raluca Nasta
- National Mentor Healthcare, LLC
- National Mentor Healthcare, LLC
- National Vision Inc
- National Vision, Inc.
All providers in Wilmington, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.