SUMMIT COSMETIC SURGERY CENTER


Address: 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403-8023
Phone: 9107945355

SUMMIT COSMETIC SURGERY CENTER (NPI# 1346607066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346607066
Entity Type Organization
Organization Name SUMMIT COSMETIC SURGERY CENTER
Practice Address 1717 Shipyard Blvd
Suite 100
Wilmington
NC 28403-8023
Practice Telephone 9107945355
Practice Fax Number 9107945358
Mailing Telephone 9107945355
Mailing Fax Number 9107945358
Enumeration Date 2016-01-26
Last Update Date 2016-01-26
Authorized Official Name TOM NORIN (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 9107945355
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 9600699 NC Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 89016GK 05
NC PTAN 2344578 01
NC RAILROAD MEDICARE PTAN CH0945 01

Office Location

Street Address 1717 SHIPYARD BLVD
SUITE 100
City WILMINGTON
State NC
Zip Code 28403-8023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649274614 Joseph F Huppmann Dermatology 1717 Shipyard Blvd, Suite 100, Wilmington, NC 28403 2005-06-08
1225636947 Samantha Marie Dubay Physician Assistant 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2020-10-14
1659889780 Rhonda Harrelson Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2018-01-10
1083129050 Jennifer Walker Specialist/Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1063927036 Mariah Jacobs Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1841705811 Jennifer Hester Radiologic Technologist 1717 Shipyard Blvd, Wilmington, NC 28403-8023 2017-12-12
1114300027 Amber L. Smith Radiologic Technologist 1717 Shipyard Blvd, Suite 350, Wilmington, NC 28403 2015-07-09
1942694302 Cynthia Markley Caster Radiologic Technologist 1717 Shipyard Blvd, #350, Wilmington, NC 28403 2015-03-24
1851685010 Shoreline Physical Therapy, LLC Physical Therapist 1717 Shipyard Blvd, Suite 320, Wilmington, NC 28403-8023 2011-06-06
1215177878 Michelle Lewis Mayo Physician Assistant 1717 Shipyard Blvd, Suite 220, Wilmington, NC 28401-8023 2009-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790396703 Jermaine Cannon Specialist 1 Murphy Rd, Wilmington, DE 19803-3044 2020-08-13
1467986778 Sharrie Hanley Specialist 4701 Wrightsville Ave Bldg 1e2, Wilmington, NC 28403-6912 2017-04-13
1952843948 Beyond Basics Salons Inc Specialist 1124 Floral Pkwy, Wilmington, NC 28403-6212 2016-11-08
1225586324 Yay Ot 4 Kids, LLC Specialist 305 N 15th St, Wilmington, NC 28401-3813 2016-09-17
1053869511 Kay Eileen Shoemaker Specialist 107 Florence Ave, Wilmington, DE 19803-2337 2016-09-13
1487000758 Vamano Inc Specialist 5231 W Woodmill Dr, Suite 45, Wilmington, DE 19808-4068 2016-05-05
1689031262 Ivps of Delaware Specialist 1305 Kirkwood Highway, Wilmington, DE 19805 2016-01-27
1548646490 Delvalley Healthcare LLC Specialist 2055 Limestone Rd Ste 201, Wilmington, DE 19808-5536 2015-08-03
1194123117 Bharat Shah Specialist 166 Landis Way N, Wilmington, DE 19803-6408 2014-12-08
1477955748 Amberly Tokoly Specialist 1717 Shipyard Blvd Ste 320, Wilmington, NC 28403-8019 2014-09-18
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Competitor

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City WILMINGTON
Zip Code 28403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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