Active NPI
Matthews Plastic Surgery Assoc PA
- Plastic Surgery Physician
- Matthews, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William J Bicket, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891541B | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Lancaster, SC
- NPI 1093713000
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
- Matthews Hematology Oncology Associates
- Matthews Infectious Disease Specialists, PLLC
- Matthews Internal Medicine PLLC
- Matthews Physical Healthcare PC
- Matthews Physical Therapy Inc
- Matthews Psychotherapy Associates, PA (Sue Evans, Pmhcns-BC)
- Matthews Surgery Center, LLC
- Ernest Prince Matthews II, LMT
- Huston Johnson Mattson IV, LAT, ATC
- Robert Charles Matulonis, D.O.
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.