Active NPI
Hoke Imaging
- Mammography Clinic/Center
- Raeford, NC
National Provider Identifier
1013269653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- License
- 240732
- Legal business name
- HOKE IMAGING
- Practice address
- 300 Medical Pavilion Dr Ste 210
Raeford, NC 28376-0018 - Phone
- (910) 904-8030
- Fax
- (910) 615-9754
- NPI assigned
- Oct 5, 2012
- Organization subpart
- Yes
- Parent organization
- CUMBERLAND COUNTY HOSPITAL SYSTEM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph B Fiser
- Title
- VP Revenue Cycle/Managed Care
- Phone
- (910) 615-5572
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Mammography Clinic/Center | 261QR0206X | 240732 | NC | Primary |
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
300 Medical Pavilion Dr Ste 210
Raeford, NC 28376-0018
Mailing address
300 Medical Pavilion Drive
Raeford, NC 28376
Phone (910) 615-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140818001488 | NC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4486871381 | Practice locations: Raeford, NC |
National Provider Directory
National Provider Directory- Part of
- Cumberland County EMS
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Cape Fear Valley Professional Radiology Group
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
Member Of
Locations
300 Medical Pavilion Dr
Ste 210
Raeford, NC 28376
Phone (910) 904-8030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1295730430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679529600000",
"number": "1013269653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEDICAL PAVILION DRIVE",
"city": "RAEFORD",
"state": "NC",
"postal_code": "28376",
"telephone_number": "910-615-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL PAVILION DR STE 210",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283760018",
"telephone_number": "910-904-8030",
"fax_number": "910-615-9754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOKE IMAGING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
"enumeration_date": "2012-10-05",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "FISER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "VP REVENUE CYCLE/MANAGED CARE",
"authorized_official_telephone_number": "910-615-5572"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": "NC",
"license": "240732",
"primary": true
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raeford, NC
- Hoke Healthcare, LLC
- Hoke Healthcare, LLC (Hoke OB/GYN Clinic)
- Hoke Healthcare, LLC (CFV Mobile Integrated Healthcare Hoke EMS)
- Hoke Healthcare, LLC (Hoke Express Care)
- Hoke Healthcare, LLC (Hoke Primary Care Clinic)
- Tara Hollingsworth-Pruitt
- Dashavone Holmes, LMBT
- Ulyssee Hood, PA
- Hope Gardens Treatment Center, Inc.
- Hope Gardens Treatment Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.