Pediatric Surgical Associates, P.A.

LBN: Pediatric Surgical Associates, P.A.
Pediatric Surgical Associates, P.A. is an health care organization with primary practice located at 1900 Randolph Rd Ste 210, Charlotte NC 28207-1106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty. Pediatric Surgical Associates, P.A. can be contacted via phone (704) 370-0223, or through Boyd, Linda G. via phone (704) 370-0223.

Contact Information

Primary practice address
1900 Randolph Rd Ste 210 Charlotte NC 28207-1106
Phone: (704) 370-0223
Fax: (704) 370-0799
Website:
Map and Directions
Authorized official contact:
Name: Boyd, Linda G.
Phone: (704) 370-0223

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 73120 North Carolina

Profile Details

NPI number 1174640163
LBN Legal business name Pediatric Surgical Associates, P.A.
DBA Doing business as
Authorized official Boyd, Linda G.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174640163 NPPES
North Carolina MEDICAID 890182W
North Carolina MEDICAID NPA716

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