Rockingham Medical & Kidney Care,PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

9500507 Issued in NC

Legal business name

ROCKINGHAM MEDICAL & KIDNEY CARE,PLLC

Practice address

1352 W Harrison St
Reidsville, NC 27320-2606

Phone

(336) 342-3338

Fax

(336) 342-9762

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Janice Thompson

Title

Office Manager

Phone

(336) 342-3338

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hailu Demissachew, MD

  • Nephrology Physician
  • Rome, GA
  • NPI 1356401616
  NPD (past)
• John P. Visioli, D.O.

  • Internal Medicine Physician
  • Salisbury, MD
  • NPI 1629177498
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1023169281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 W HARRISON ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273202606",
            "telephone_number": "336-342-3338",
            "fax_number": "336-342-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 W HARRISON ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273202606",
            "telephone_number": "336-342-3338",
            "fax_number": "336-342-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM MEDICAL & KIDNEY CARE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-342-3338"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9500507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3102113",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14370",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAID",
            "identifier": "5811953",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "11593",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890278",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockingham County Finance Office (Rockingham County Emergency Medical Services)
• Rockingham County Finance Office (Rockingham County EMS)
• Rockingham County Schools Day Treatment Program
• Rockingham Family Health, Psychological & Counseling Center, PLLC
• Rockingham Foot & Ankle Associates
• Rockingham Opportunities Corp
• Rockingham Opportunities Corp
• Rockingham Opportunities Corp
• Rockingham Opportunities Corp
• Rockingham Opportunities Corp

• Specialist in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.