Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Kogan, MD/PHD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1679100697

Samuel Kogan, MD/PHD is a Plastic and Reconstructive Surgery Physician in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
Specialties on file
2

Practice location Address checks out

170 Medical Park Rd Ste 210
Mooresville, NC 28117-8583
Phone: (704) 663-0006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 2026-01745 (NC)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 2026-01745 (NC)

Record details

NPI number1679100697
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026