Organization Active NPI

Richmond Internal Medicine and Cardiology Associates PA

  • Internal Medicine Physician
  • Rockingham, NC
National Provider Identifier
1073576815
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RICHMOND INTERNAL MEDICINE AND CARDIOLOGY ASSOCIATES PA
Practice address
115 Mallard LN
Rockingham, NC 28379-5203
Phone
(910) 997-3313
Fax
(910) 997-7904
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Johnny E Camargo, MD
Title
Doctor Secretary
Phone
(910) 997-3313

Specialties & licenses 1

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

Addresses

Primary practice location

115 Mallard LN
Rockingham, NC 28379-5203

Mailing address

115 Mallard LN
Rockingham, NC 28379-5203
Phone (910) 997-3313

Other identifiers 3

IdentifierTypeStateIssuer
02014OtherNCGROUP BCBS
CB8723OtherRAILROAD MEDICARE
7902014MedicaidNC

National Provider Directory

National Provider Directory

Locations

115 Mallard Ln
Rockingham, NC 28379
Phone (910) 997-3313

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1073576815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MALLARD LN",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283795203",
            "telephone_number": "910-997-3313",
            "fax_number": "910-997-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MALLARD LN",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283795203",
            "telephone_number": "910-997-3313",
            "fax_number": "910-997-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND INTERNAL MEDICINE AND CARDIOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "CAMARGO",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR SECRETARY",
        "authorized_official_telephone_number": "910-997-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "02014",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB8723",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.