Active NPI
Pinehurst Radiology Associates
- Specialist
- Pinehurst, NC
National Provider Identifier
1073567244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PINEHURST RADIOLOGY ASSOCIATES
- Practice address
- 30 Memorial Dr
Pinehurst, NC 28374-8707 - Phone
- (910) 295-4400
- Fax
- (910) 295-2810
- NPI assigned
- May 20, 2006
- Last updated
- Oct 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Moore
- Title
- Ao
- Phone
- (910) 295-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
30 Memorial Dr
Pinehurst, NC 28374-8707
Mailing address
PO Box 63443
Charlotte, NC 28263-3443
Phone (910) 295-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
30 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-1831
Practitioners & affiliated clinicians
Practitioners 25
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.
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1932160058
-
- Diagnostic Radiology Physician
- Greensboro, NC
- NPI 1154559854
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1154378156
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1275707325
-
- Vascular & Interventional Radiology Physician
- Pinehurst, NC
- NPI 1922494707
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1851345631
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1821071101
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1285681106
-
- Medical Physician Assistant
- Pinehurst, NC
- NPI 1770579666
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1144492372
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1801213129
-
- Diagnostic Radiology Physician
- Pinehurst, NC
- NPI 1861669897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1073567244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63443",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633443",
"telephone_number": "910-295-4400",
"fax_number": "910-295-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748707",
"telephone_number": "910-295-4400",
"fax_number": "910-295-2810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINEHURST RADIOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "910-295-4400"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
- Pinehurst OBGYN Associates PA
- Pinehurst Opco, LLC (The Greens At Pinehurst Rehabilitation & Living Center)
- Pinehurst Pathology Center Inc
- Pinehurst Plastic Surgery Specialists, P.a.
- Pinehurst Radiation Oncology Inc
- Pinehurst Radiology Group P a
- Pinehurst Skin Surgery Center PLLC
- Pinehurst Surgical Clinic PA
- Pinehurst Wellness Associates PLLC
- Pinehurst Womens Clinic PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.