Active NPI
North Hills Internal Medicine, PA
- Internal Medicine Physician
- Raleigh, NC
National Provider Identifier
1083671101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25365
- Legal business name
- NORTH HILLS INTERNAL MEDICINE, PA
- Practice address
- 3320 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7300 - Phone
- (919) 855-8911
- Fax
- (919) 855-9424
- NPI assigned
- May 1, 2006
- 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
- Dr. John T Marucheck, M.D.
- Title
- President
- Phone
- (919) 855-8911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25365 | NC | Primary |
Addresses
Primary practice location
3320 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7300
Mailing address
3320 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7300
Phone (919) 855-8911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL6182 | Other | NC | RAILROAD MEDICARE |
| 7902440 | Medicaid | NC | |
| 02440 | Other | NC | BLUE CROSS BLUE SHIELD NC |
National Provider Directory
National Provider DirectoryLocations
3320 Wake Forest Rd
Ste 310
Raleigh, NC 27609
Phone (919) 855-8911
10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083671101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 WAKE FOREST RD",
"address_2": "SUITE 310",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097300",
"telephone_number": "919-855-8911",
"fax_number": "919-855-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 WAKE FOREST RD",
"address_2": "SUITE 310",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097300",
"telephone_number": "919-855-8911",
"fax_number": "919-855-9424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH HILLS INTERNAL MEDICINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARUCHECK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-855-8911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "25365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CL6182",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7902440",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "02440",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- North Hills Family Care Home LLC
- North Hills Family Chiropractic
- North Hills Family Chiropractic
- North Hills Integrative Medicine Associates
- North Hills Internal & Integrative Medicine, PA
- North Hills Medical
- North Hills Physical Therapy Center, Inc.
- North Raleigh Accident & Injury Center Inc.
- North Raleigh Cardiovascular Diseases PA
- North Raleigh Chiropractic PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.