MID CAROLINA SURGICAL CLINIC PA (NPI# 1801001201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801001201 |
Entity Type | Organization |
Organization Name | MID CAROLINA SURGICAL CLINIC PA |
Practice Address |
709b Wicker St Sanford NC 27330-4142 |
Practice Telephone | 9197753321 |
Practice Fax Number | 9197746974 |
Mailing Telephone | 9197753321 |
Mailing Fax Number | 9197746974 |
Enumeration Date | 2007-05-11 |
Last Update Date | 2008-06-19 |
Authorized Official Name | DR. MICHAEL A GORDON (PRESIDENT) |
Authorized Official Telephone | 9197753321 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 13991 | NC | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 36308 | 01 | |
BCBS | 0170C | 01 | |
NC | 8936308 | 05 |
Street Address |
709B WICKER ST |
City | SANFORD |
State | NC |
Zip Code | 27330-4142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
Find all providers in zip 27330 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
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1306323852 | Tacitha L Harris | Specialist | 1169 W Airport Blvd, Sanford, FL 32773-4972 | 2018-07-26 |
1215399837 | Shannon V Barnes | Specialist | 1205 South Park Avenue, Sanford, FL 32771-2853 | 2016-03-23 |
1447553029 | Kimberly Joan Grayson | Specialist | 300 Tammy Dr, Sanford, FL 32771-3669 | 2010-12-21 |
1609017359 | Deirdre Marie Raggins | Specialist | 2441 S Elm Ave, Sanford, FL 32771-4443 | 2009-03-10 |
1194907378 | Clarence Scott Md,pa | Specialist | 1621 W First Street, Sanford, FL 32772-0907 | 2007-11-29 |
1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
1508998675 | Kids House of Seminole, Inc. | Specialist | 5467 County Road 427, Sanford, FL 32773-6332 | 2007-03-12 |
1851309652 | S K Joshi | Specialist | 1001 W 1st St, Sanford, FL 32771-1051 | 2006-08-04 |
1093721250 | Cancer Care Center of York County | Specialist | 27 Industrial Ave, Sanford, ME 04073-5820 | 2006-07-31 |
1316963754 | Choices Changes, Inc. | Specialist | 2298 W Airport Blvd, Sanford, FL 32771-3084 | 2006-07-15 |
Find all providers in SANFORD |
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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.