SHELBY SURGICAL ASSOCIATES PA NPI 1861580664

NPI Information

NPI: 1861580664
Provider Name: SHELBY SURGICAL ASSOCIATES, PA
Classification: Surgery - 208600000X
Entity Type: Organization
Doing Business As: KINGS MOUNTAIN SURGICAL ASSOICATES, PA
Address: 200 W GROVER ST
SHELBY, NC
ZIP 28150
Phone: (704) 487-8591

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NPI Details

SHELBY SURGICAL ASSOCIATES, PA is a surgery in Shelby, NC. The provider is 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. SHELBY SURGICAL ASSOCIATES, PA NPI is 1861580664. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kings Mountain Surgical Assoicates, Pa.

The provider's business location address is:

200 W GROVER ST
SHELBY, NC
ZIP 28150-708
Phone: (704) 487-8591
Fax: (704) 480-9726

The provider's authorized official is Harry Douglas Hobson .
The authorized official title is President and has the following contact phone number (704) 487-8591.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		39421	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8902656	MEDICAID	NORTH CAROLINA
2	02656	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHILED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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