Organization Active NPI

Matthews Plastic Surgery Assoc PA

  • Plastic Surgery Physician
  • Matthews, NC
National Provider Identifier
1932166683
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
MATTHEWS PLASTIC SURGERY ASSOC PA
Practice address
1450 Matthews Township Pkwy
Sutie 270
Matthews, NC 28105-2387
Phone
(704) 845-9800
Fax
(704) 845-9890
NPI assigned
Apr 27, 2006
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
William J Bicket, MDNPI 1093713000
Title
President
Phone
(704) 845-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy
Sutie 270
Matthews, NC 28105-2387

Mailing address

1450 Matthews Township Pkwy
Suite 270
Matthews, NC 28105-2387
Phone (704) 845-9800

Other identifiers 1

IdentifierTypeStateIssuer
891541BMedicaidNC

National Provider Directory

National Provider Directory

Locations

1450 Matthews Township Pkwy
Ste 270
Matthews, NC 28105
Phone (704) 845-9800

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": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1932166683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY",
            "address_2": "SUITE 270",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052387",
            "telephone_number": "704-845-9800",
            "fax_number": "704-845-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY",
            "address_2": "SUTIE 270",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052387",
            "telephone_number": "704-845-9800",
            "fax_number": "704-845-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS PLASTIC SURGERY ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "BICKET",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-845-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891541B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.