CENTER FOR FACIAL PLASTIC AND LASER SURGERY (NPI# 1417052986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417052986 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FACIAL PLASTIC AND LASER SURGERY |
| Other Organization Name | M SEAN FREEMAN MD |
| Practice Address |
11220 Elm Lane Suite 101 Charlotte NC 28277 |
| Practice Telephone | 7045431110 |
| Practice Fax Number | 7045430898 |
| Mailing Telephone | 7045431110 |
| Mailing Fax Number | 7045430898 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL SEAN FREEMAN (PRESIDENT) |
| Authorized Official Telephone | 7045431110 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
32239 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS BLUE CROSS BLUE SHIE | 33874 | 01 |
| Other Name | Type Code |
|---|---|
| M Sean Freeman MD | Other Name - Individual/Organization |
| Street Address |
11220 ELM LANE SUITE 101 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205995602 | Michael Sean Freeman | Otolaryngology | 11220 Elm Lane, Suite 101, Charlotte, NC 28277 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484958 | Genesis Ent & Plastic Surgery, Pllc | Otolaryngology | 14835 John J Delaney Dr, Suite 210, Charlotte, NC 28277-2738 | 2006-06-11 |
| 1417404344 | Charlotte Facial Plastic Surgery | Otolaryngology | 1819 Lyndhurst Ave, Charlotte, NC 28203-5103 | 2016-09-08 |
| 1205995602 | Michael Sean Freeman | Otolaryngology | 11220 Elm Lane, Suite 101, Charlotte, NC 28277 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043766686 | Granville Health Inc | Otolaryngology | 102 Professional Park Dr., Suite C, Oxford, NC 27565-2501 | 2016-09-01 |
| 1689757007 | Coastal Carolina Ent Do Pa | Otolaryngology | 302 Liberty St, Whiteville, NC 28472-3714 | 2006-10-21 |
| 1831153402 | Eastern Carolina Ear Nose and Throat Associates Pa | Otolaryngology | 927 North Bright Leaf Blvd, Smithfield, NC 27577 | 2006-04-12 |
| 1861464422 | Nitzan Daniel Catz | Otolaryngology | 927 N Brightleaf Blvd, Smithfield, NC 27577 | 2006-02-07 |
| 1710974332 | Jeffrey Paul Campbell | Otolaryngology | 730 Oakridge Blvd, Suite C, Lumberton, NC 28358-2324 | 2005-09-29 |
| 1427680180 | Triangle Facial Plastic Surgery, Pllc | Otolaryngology | 9104 Falls of Neuse Rd Ste 204, Raleigh, NC 27615-2494 | 2020-02-10 |
| 1528339967 | Moses Cone Affiliated Physicians, Inc. | Otolaryngology | 1200 N Elm St, Greensboro, NC 27401-1004 | 2012-01-17 |
| 1790804813 | Nicholas Daniel Lukacs | Otolaryngology | 1107 Reynolds St, Monroe, NC 28112-4351 | 2007-03-28 |
| 1427121425 | Edward J. Silvoy, M.d.,p.a. | Otolaryngology | 1010 X Ray Dr, Suite A, Gastonia, NC 28054-7488 | 2006-11-16 |
| 1386715639 | Thomas B Warren | Otolaryngology | 140 Gateway Blvd, Mooresville, NC 28117-8522 | 2006-11-10 |
| 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.