CAROLINA SURGERY PA (NPI# 1245296490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245296490 |
| Entity Type | Organization |
| Organization Name | CAROLINA SURGERY PA |
| Other Organization Name | GASTON GENERAL AND VASCULAR SURGERY |
| Practice Address |
1089 X Ray Dr Gastonia NC 28054-7489 |
| Practice Telephone | 7048648377 |
| Practice Fax Number | 7048644442 |
| Mailing Telephone | 7048648377 |
| Mailing Fax Number | 7048644442 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANDREW IRA LIGHT (PRESIDENT) |
| Authorized Official Telephone | 7048648377 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gaston General and Vascular Surgery | Former Legal Business Name - Organization |
| Street Address |
1089 X RAY DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346865417 | Kimberly Mckay Alves | Nurse Practitioner | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2020-06-14 |
| 1538793146 | Mary A Urban | Psychiatry & Neurology | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2020-02-24 |
| 1376000570 | Wanda Lizette Carrington | Nurse Practitioner | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2019-02-23 |
| 1033697099 | Aspen Investment Group | Clinic/Center | 1089 X Ray Dr, Gastonia, NC 28054 | 2018-08-01 |
| 1760772826 | Caromont Medical Group Inc | Surgery | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2011-04-11 |
| 1780909028 | Cs Cmg LLC | Surgery | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2010-03-30 |
| 1295791374 | Mark Sanders Moskowitz | Surgery | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2006-04-26 |
| 1629035530 | Andrew Ira Light | Surgery | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750627857 | Carolina's Breast & General Surgery Center, Pa | Surgery | 1038 X Ray Dr, Gastonia, NC 28054-7488 | 2012-12-17 |
| 1093063398 | Caromont Medical Group, Inc. | Surgery | 620 Summit Crossing Pl Ste 108b, Gastonia, NC 28054-2189 | 2012-08-17 |
| 1346337094 | Vein Specialists of The Carolinas, Pa | Surgery | 860 Summit Crossing Place, Suite 120, Gastonia, NC 28054 | 2006-10-06 |
| 1972569069 | Sandra B Schultz | Surgery | 640 Summit Crossing Pl Ste 203, Gastonia, NC 28054-2142 | 2006-04-26 |
| 1407842727 | Paula A Lundgren | Surgery | 660 Summit Crossing Pl, Suite 203, Gastonia, NC 28054-2104 | 2005-09-22 |
| 1588657258 | David Garth Ellertson Jr. | Surgery | 2555 Court Dr Ste 450, Gastonia, NC 28054-2191 | 2005-08-26 |
| 1992703813 | Augustine R Eze | Surgery | 825 Majestic Ct Ste F, Gastonia, NC 28054-5190 | 2005-07-13 |
| 1437531845 | John Burger | Surgery | 2555 Court Dr Ste 450, Gastonia, NC 28054-2191 | 2015-06-22 |
| 1427463280 | Bryan P. Payne | Surgery | 2555 Court Dr Ste 450, Gastonia, NC 28054 | 2014-06-30 |
| 1447545777 | Carolinas Physicians Network Inc | Surgery | 2680 Aberdeen Blvd, Gastonia, NC 28054-0637 | 2011-06-15 |
| Find all providers in GASTONIA | ||||
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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.