NPIMap

Organization Active NPI

J. Arthur Dosher Memorial Hospital

Doing business as Dosher Medical - Smithville Crossing

  • Internal Medicine Physician
  • Southport, NC
National Provider Identifier
1053727693
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Doing business as
Dosher Medical - Smithville Crossing
Practice address
1513 N Howe St
Ste 6
Southport, NC 28461-2769
Phone
(910) 457-9127
Fax
(910) 269-2884
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Brandon Hughes
Title
Finance Director
Phone
(910) 454-4728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X NC Primary

Addresses

Primary practice location

1513 N Howe St
Ste 6
Southport, NC 28461-2769

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3910

Other names 1

  • Dosher Medical - Smithville Crossing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000362 NC Part B Supplier - Clinic/Group Practice 8921910324 Receives reassigned benefits from 64 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southport, NC; Oak Island, NC; Bald Head Island, NC

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1513 N Howe St
Ste 201
Southport, NC 28461

1513 N Howe St
Ste 6
Southport, NC 28461
Phone (910) 457-9127

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1053727693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3910",
            "fax_number": "910-457-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 N HOWE ST",
            "address_2": "STE 6",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284612769",
            "telephone_number": "910-457-9127",
            "fax_number": "910-269-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "910-454-4728"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dosher Medical - Smithville Crossing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dosher Medical - Smithville Crossing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.

Verify at the official NPI Registry.