Pinehurst Rheumatology PA

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

PINEHURST RHEUMATOLOGY PA

Practice address

4204 Murdocksville Road
West End, NC 27376-8871

Phone

(910) 255-0055

Fax

(910) 255-0060

NPI assigned

May 3, 2006

Last updated

Jun 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kara M Martin, MDNPI 1881691277

Title

President

Phone

(910) 255-0055

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kara M Martin, MD

  • Rheumatology Physician
  • West End, NC
  • NPI 1881691277
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1013975598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 MURDOCKSVILLE ROAD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273768871",
            "telephone_number": "910-255-0055",
            "fax_number": "910-255-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 MURDOCKSVILLE ROAD",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273768871",
            "telephone_number": "910-255-0055",
            "fax_number": "910-255-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST RHEUMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-255-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARTIN NPI",
            "identifier": "1881691277",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN ENDING 2/25/2009",
            "identifier": "2320331",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD8391",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1013975598",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUSTIN NPI",
            "identifier": "1780681221",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890136Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NEW PTAN 2/26/2009",
            "identifier": "2225603A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCHORN NPI",
            "identifier": "1710919683",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0136Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB124",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in West End, NC
• Providers in West End, NC by specialty
• Rheumatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.