Organization Active NPI

Q.a. Thai Neurosurgery Center PC

  • Neurological Surgery Physician
  • Elizabeth City, NC
National Provider Identifier
1902841638
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2006-00270 Issued in NC
Legal business name
Q.A. THAI NEUROSURGERY CENTER PC
Practice address
105 N Road St
Elizabeth City, NC 27909-4345
Phone
(252) 331-2242
Fax
(252) 331-2929
NPI assigned
Jun 17, 2006
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Dr. Quoc-Anh Thai, M.D.
Title
Neurosurgeon
Phone
(252) 331-2242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2006-00270 NC Primary

Addresses

Primary practice location

105 N Road St
Elizabeth City, NC 27909-4345

Mailing address

105 N Road St
Elizabeth City, NC 27909-4345
Phone (252) 331-2242

Other identifiers 1

IdentifierTypeStateIssuer
5905230MedicaidNC

National Provider Directory

National Provider Directory

Locations

105 N Road St
Elizabeth Cty, NC 27909
Phone (252) 331-2242

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1902841638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094345",
            "telephone_number": "252-331-2242",
            "fax_number": "252-331-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094345",
            "telephone_number": "252-331-2242",
            "fax_number": "252-331-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q.A. THAI NEUROSURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "QUOC-ANH",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "252-331-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NC",
            "license": "2006-00270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905230",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.