Individual provider Active NPI

Frank W. Mauldin, M.D.

  • Otolaryngology Physician
  • Hickory, NC
National Provider Identifier
1013979426
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
36767 Issued in NC
Practice address
304 10TH Ave NE
Hickory, NC 28601-3883
Phone
(828) 322-2183
Fax
(828) 485-4550
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 36767 NC Primary

Addresses

Primary practice location

304 10TH Ave NE
Hickory, NC 28601-3883

Mailing address

256 10TH Ave NE Ste C
Hickory, NC 28601-3882
Phone (828) 322-2183

Other identifiers 1

IdentifierTypeStateIssuer
7955030MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000368 NC Practitioner - Otolaryngology 9537165089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Ear, Nose & Throat-Sinus and Allergy Center PA Otolaryngology Current Accepting new patients
Carolina Ear, Nose & Throat-Sinus and Allergy Center PA Otolaryngology CurrentSince Jan 1, 2011 Accepting new patients
Graystone Ear, Nose and Throat Associates, PA Otolaryngology PastSince May 29, 1997 Accepting new patients

Locations

304 10th Ave NE
Hickory, NC 28601
Phone (828) 322-2183

256 10th Ave NE
Ste C
Hickory, NC 28601

1446 E Gaston St
#101
Lincolnton, NC 28092
Phone (704) 284-0554

Interoperability endpoints

  • Direct secure messaging: frankmauldin@centhnsc.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1013979426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 10TH AVE NE STE C",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013882",
            "telephone_number": "828-322-2183",
            "fax_number": "828-485-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 10TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013883",
            "telephone_number": "828-322-2183",
            "fax_number": "828-485-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "FRANK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "36767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7955030",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.