CATAWBA SURGICAL ASSOCIATES PA (NPI# 1043273964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043273964 |
| Entity Type | Organization |
| Organization Name | CATAWBA SURGICAL ASSOCIATES PA |
| Practice Address |
3513 Graystone Pl Conover NC 28613-8201 |
| Practice Telephone | 8283228485 |
| Practice Fax Number | 8283225039 |
| Mailing Telephone | 8283228485 |
| Mailing Fax Number | 8283225039 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | DR. DWIGHT FITZGERALD (MD, OWNER) |
| Authorized Official Telephone | 8283228485 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890143F | 05 |
| Street Address |
3513 GRAYSTONE PL |
| City | CONOVER |
| State | NC |
| Zip Code | 28613-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356320071 | Aaron Delano Thompson Jr. | Surgery | 3513 Graystone Pl, Conover, NC 28613-8201 | 2006-01-11 |
| 1194771451 | Center for Advanced Vein Care Pllc | Specialist | 3513 Graystone Pl, Conover, NC 28613-8201 | 2006-05-26 |
| 1053390823 | Dwight Melvin Fitzgerald | Surgery | 3513 Graystone Pl, Conover, NC 28613-8201 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258671 | Samantha Lackey | Hearing Instrument Specialist | 1217-f Nc Highway 16, Conover, NC 28613 | 2020-09-03 |
| 1497313381 | Gjulshana Nurceski | Internal Medicine | 203 1st St East, Conover, NC 28613 | 2019-06-05 |
| 1487162384 | Anthony T Hines | Counselor | 6055 St. Peters Church Road, Conover, NC 28613 | 2018-01-14 |
| 1780195693 | Healthstat Onsite Clinic Hsm Conover | Preventive Medicine | 120 Section House Road, Conover, NC 28613 | 2017-10-18 |
| 1487055612 | Kave Nikbakht | Pharmacist | 201 Zelkova Ct., Wal-mart Pharmacy, Conover, NC 28613 | 2014-09-08 |
| 1326457003 | Michelle Lynn Kirby | Pharmacist | 126 1st Avenue South, Conover, NC 28613 | 2014-08-07 |
| 1255676904 | Norris Franklin Buff | Pharmacist | 498 6th Ave Ne, Conover, NC 28613 | 2012-12-06 |
| 1043560964 | Nicole Elizabeth Flinn | Pharmacist | 508 K 10th Street Nw, Conover, NC 28613 | 2012-09-18 |
| 1508115171 | Jannie Sue Phillips | Occupational Therapist | 2917 14th Ave Ne, Conover, NC 28613 | 2012-08-29 |
| 1861792707 | Susan Kochel Pearce | Physical Therapist | 2372 Eagle Drive, New Beginnings Pediatric Therapy, LLC, Conover, NC 28613 | 2010-10-26 |
| Find all providers in zip 28613 | ||||
| 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 |
|---|---|---|---|---|
| 1245633999 | Mollie Merritt | Specialist | 4090 Chasewood Dr, Conover, NC 28613-7557 | 2014-10-08 |
| 1730454331 | Amanda Ann Summers | Specialist | 2797 Tiffany St, Conover, NC 28613-9116 | 2012-03-14 |
| 1558500439 | Steven J Bahrke | Specialist | 3599 Twin Lake Rd, Conover, WI 54519-9318 | 2009-02-17 |
| 1881658599 | Richard Madison Griffin | Specialist | 3521 Graystone Pl, Conover, NC 28613-8201 | 2006-04-12 |
| 1194771451 | Center for Advanced Vein Care Pllc | Specialist | 3513 Graystone Pl, Conover, NC 28613-8201 | 2006-05-26 |
| 1497722359 | Espiritu Clinic Pllc | Specialist | 715 Fairgrove Church Rd Se, Suite 204, Conover, NC 28613-9290 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989812 | Ryan Graham | Specialist | 405 Avett Dr, Durham, NC 27703-8291 | 2020-07-14 |
| 1184248197 | Tunishia Chanel Parks | Specialist | 106 Daniels Ave, Battleboro, NC 27809-7503 | 2020-06-05 |
| 1306460811 | Ashley Davis | Specialist | 765 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7100 | 2020-06-01 |
| 1083236996 | Latisha Isheema Buchanan | Specialist | 3215 Guess Rd Ste 101, Durham, NC 27705-2668 | 2020-05-13 |
| 1356962872 | Katherine Joy Griffin | Specialist | 1112 Bottle Brush Ln, Harrisburg, NC 28075-6716 | 2020-05-06 |
| 1174158315 | Shanese Spaulding | Specialist | 309 N Elm St, Lumberton, NC 28358-5649 | 2020-03-09 |
| 1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
| 1215580949 | Felisha Cheadle | Specialist | 240 Appalachian Dr, Raeford, NC 28376-6342 | 2019-07-22 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
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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.