EVERGREEN ENT & FACIAL PLASTIC SURGERY, PLLC (NPI# 1619272614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619272614 |
| Entity Type | Organization |
| Organization Name | EVERGREEN ENT & FACIAL PLASTIC SURGERY, PLLC |
| Practice Address |
1086 Bethel Rd Morganton NC 28655-8100 |
| Practice Telephone | 5033815255 |
| Mailing Telephone | 5033815255 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |
| Authorized Official Name | DR. BRIAN DOWNS (MANAGER/DIRECTOR) |
| Authorized Official Telephone | 5033815255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
200301349 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1086 BETHEL RD |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740547595 | Carolina Facial Plastics Pllc | Otolaryngology | 6849 Fairview Rd Ste 200, Charlotte, NC 28210-3664 | 2012-04-18 |
| 1124117486 | Jonathan Sol Kulbersh | Otolaryngology | 6849 Fairview Rd, Ste 200, Charlotte, NC 28210-3393 | 2006-10-12 |
| 1952348492 | Francis P. J. Langford | Otolaryngology | 645 Amalia St Ne, Concord, NC 28025-2434 | 2006-06-01 |
| 1033195144 | Erik L Kenyon | Otolaryngology | 333 Jefferson St, Whiteville, NC 28472-3601 | 2005-12-20 |
| 1679010011 | Triangle Plastic Surgery Center, Pllc | Otolaryngology | 9104 Falls of Neuse Rd, Suite 204, Raleigh, NC 27615-2494 | 2017-01-24 |
| 1750625927 | Goldman Center for Facial Plastic Surgery Pllc | Otolaryngology | 717 Greenway Rd, Suite A, Boone, NC 28607-4903 | 2012-11-12 |
| 1366793465 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 114 Gateway Blvd, Suite B, Mooresville, NC 28117-5598 | 2012-09-28 |
| 1316202948 | Wilmington Aesthetic Facial Plastic and Reconstructive Center, LLC | Otolaryngology | 1604 Physicians Dr, 103, Wilmington, NC 28401-7362 | 2012-07-10 |
| 1639406598 | Daniel Robert Gerry | Otolaryngology | 1107 Reynolds St, Monroe, NC 28112-4351 | 2009-11-12 |
| 1215120357 | Andrea Jarchow Garcia | Otolaryngology | 1819 Lyndhurst Ave, Charlotte, NC 28203-5103 | 2007-08-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EVERGREEN ENT & FACIAL PLASTIC SURGERY, PLLC.
| 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.