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NOVANT MEDICAL GROUP INC. NPI 1902052210


NPI Information

NPI: 1902052210
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: MOORESVILLE SURGICAL ASSOCIATES

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
123 PROFESSIONAL PARK DR
SUITE 200
MOORESVILLE, NC
ZIP 28117
Phone: (704) 663-7905
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NOVANT MEDICAL GROUP, INC. is a surgery in Mooresville, 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. NOVANT MEDICAL GROUP, INC. NPI is 1902052210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mooresville Surgical Associates.

The provider's business location address is:

123 PROFESSIONAL PARK DR
SUITE 200
MOORESVILLE, NC
ZIP 28117-524
Phone: (704) 663-7905
Fax: (704) 663-5224

The provider's authorized official is Dinesh S Pai .
The authorized official title is Vp Of Operations and has the following contact phone number (704) 384-9113.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 5/18/2009.


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
1208600000XSurgeryNORTH CAROLINAYes

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
15950526MEDICAIDNORTH CAROLINA
22319872MEDICARE PINNORTH CAROLINA

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: 5/5/2024

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