Provider Demographics
NPI:1245202142
Name:SALISBURY SURGICAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:SALISBURY SURGICAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:B
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-637-2750
Mailing Address - Street 1:911 W HENDERSON STREET
Mailing Address - Street 2:SUITE 410
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2700
Mailing Address - Country:US
Mailing Address - Phone:704-637-2750
Mailing Address - Fax:704-637-5514
Practice Address - Street 1:911 W HENDERSON ST
Practice Address - Street 2:SUITE 410
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2700
Practice Address - Country:US
Practice Address - Phone:704-637-2750
Practice Address - Fax:704-637-5514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2335OtherPARTNERS GROUP NUMBER
NC41039OtherMEDCOST GROUP NUMBER
NC972937OtherUNITED HEALTH CARE GROUP
NC0219EOtherBCBS GROUP NUMBER
NC5115086OtherWAUSAU GROUP NUMBER
NC890219EMedicaid
NC0219EOtherBCBS GROUP NUMBER