PIEDMONT SURGICAL CLINIC, PA (NPI# 1407032055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407032055 |
| Entity Type | Organization |
| Organization Name | PIEDMONT SURGICAL CLINIC, PA |
| Practice Address |
431 Copperfield Blvd Ne Concord NC 28025-3035 |
| Mailing Address |
431 Copperfield Blvd Ne Concord NC 28025-2405 |
| Practice Telephone | 7047861104 |
| Practice Fax Number | 7047883112 |
| Mailing Telephone | 7047861104 |
| Mailing Fax Number | 7047883112 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | MRS. TAMMY S MILLER (OFFICE MANAGER) |
| Authorized Official Telephone | 7047861104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8902422 | 05 |
| Street Address |
431 COPPERFIELD BLVD NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915980 | Mark Reiff | Family Medicine | 431 Copperfield Blvd Ne, Ste 100, Concord, NC 28025-2405 | 2005-10-06 |
| 1760651160 | Randa Eury | Nurse Practitioner | 431 Copperfield Blvd Ne, Ste 100, Concord, NC 28025-2405 | 2008-02-29 |
| 1932138559 | Connie Tsang | Psychiatry & Neurology | 431 Copperfield Blvd Ne, Ste 100, Concord, NC 28025-2405 | 2006-07-03 |
| 1457315558 | Mark Letica | Psychiatry & Neurology | 431 Copperfield Blvd Ne, Ste 100, Concord, NC 28025-2405 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1306149174 | Burton H Baker Md A Medical Corporation | Surgery | 2425 East St Ste 18, Concord, CA 94520-1926 | 2010-12-16 |
| 1518291830 | Jane I-chen Tsao | Surgery | 1 Wright Farm, Concord, MA 01742-1529 | 2009-09-21 |
| 1700906484 | Burton Albert Nault | Surgery | 21 S Fruit St, Concord, NH 03301-2428 | 2007-03-29 |
| 1811025471 | Mauricio Kuri | Surgery | 2485 High School Ave Ste 222, Concord, CA 94520-1813 | 2007-03-02 |
| 1659440063 | Rolf G Sommerhaug M.d., Professional Corporation | Surgery | 2485 High School Ave., Suite 312, Concord, CA 94520 | 2006-11-07 |
| 1124103692 | Burton Herbert Baker | Surgery | 2425 East St., #18, Concord, CA 94520 | 2006-10-25 |
| 1306926357 | Andreas Kamlot Md, A Medical Corportation | Surgery | 2485 High School Ave Ste 312, Concord, CA 94520-1814 | 2006-10-16 |
| 1215993639 | Carolina Weight Loss Surgery | Surgery | 1090 Vinehaven Dr, Concord, NC 28025-2438 | 2006-04-25 |
| 1659335685 | Roc Bauman | Surgery | 1090 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2006-04-14 |
| 1174522098 | Seymour A Dimare | Surgery | 133 Ornac, Emerson Hospital, Concord, MA 01742-4159 | 2005-07-21 |
| Find all providers in CONCORD | ||||
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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.