NPIMap

Organization Active NPI

Healing Waters North Carolina

  • Surgery Physician
  • Durham, NC
National Provider Identifier
1083007207
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
200300784 Issued in NC
Legal business name
HEALING WATERS NORTH CAROLINA
Practice address
6813 Fayetteville Rd
Durham, NC 27713-8721
Phone
(919) 572-1710
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Mary Pape
Title
Manager
Phone
(316) 633-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 200300784 NC Primary

Addresses

Primary practice location

6813 Fayetteville Rd
Durham, NC 27713-8721

Mailing address

6120 Shadybrook St
Wichita, KS 67208-1862
Phone (316) 633-4413

National Provider Directory

National Provider Directory
Tax ID family
Healing Waters2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6813 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1710

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1083007207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 SHADYBROOK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081862",
            "telephone_number": "316-633-4413",
            "fax_number": "877-381-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6813 FAYETTEVILLE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138721",
            "telephone_number": "919-572-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATERS NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "PAPE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "316-633-4413"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "200300784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.