Aesthetic Surgery of Charlotte PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

2012-00490 Issued in NC

Legal business name

AESTHETIC SURGERY OF CHARLOTTE PLLC

Practice address

11835 Southmore Dr
Suite 202
Charlotte, NC 28277-4466

Phone

(704) 837-1150

Fax

(704) 837-1156

NPI assigned

Nov 4, 2015

Last updated

May 13, 2019By 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

Dr. Adam Christian Augenstein, M.D.NPI 1255479895

Title

Ceo

Phone

(704) 837-1150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Augenstein Aesthetic Surgery Center, PLLC Former legal business name

Locations

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.

• Adam Christian Augenstein, M.D.

  • Plastic Surgery Physician
  • Charlotte, NC
  • NPI 1255479895
  Authorized official Same address or phone

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1912370602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 SOUTHMORE DR",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774466",
            "telephone_number": "704-837-1150",
            "fax_number": "704-837-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 SOUTHMORE DR",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774466",
            "telephone_number": "704-837-1150",
            "fax_number": "704-837-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SURGERY OF CHARLOTTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "AUGENSTEIN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-837-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2012-00490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "024C4M",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augenstein Aesthetic Surgery Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Augenstein Aesthetic Surgery Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Plastic Surgery Physician in Charlotte, NC
• Providers in Charlotte, 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 May 13, 2019; 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.