NPIMap

Organization Active NPI

Go Hard for Life International

  • Pediatrics Physician
  • Raleigh, NC
National Provider Identifier
1043689565
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9901279 Issued in NC
Legal business name
GO HARD FOR LIFE INTERNATIONAL
Practice address
4404 Deer Knoll CT
Raleigh, NC 27603-8589
Phone
(919) 946-4712
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Melonie Marsh
Title
Co-Owner
Phone
(919) 946-4712

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 9901279 NC Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 9901279 NC

Addresses

Primary practice location

4404 Deer Knoll CT
Raleigh, NC 27603-8589

Mailing address

4404 Deer Knoll CT
Raleigh, NC 27603-8589
Phone (919) 946-4712

National Provider Directory

National Provider Directory
Tax ID family
Go Hard for Life International3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1043689565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 DEER KNOLL CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038589",
            "telephone_number": "919-946-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 DEER KNOLL CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276038589",
            "telephone_number": "919-946-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO HARD FOR LIFE INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "919-946-4712"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9901279",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "9901279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.