NPIMap

Organization Active NPI

Scotland Regional Health Network

  • Gastroenterology Physician
  • Laurinburg, NC
National Provider Identifier
1083972541
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SCOTLAND REGIONAL HEALTH NETWORK
Practice address
205 Lauchwood Dr
Suite B
Laurinburg, NC 28352-4779
Phone
(910) 277-4410
Fax
(910) 277-4223
NPI assigned
May 2, 2012
Organization subpart
Yes
Parent organization
SCOTLAND REGIONAL HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Daniel Wiens
Title
Senior Vice President
Phone
(704) 355-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

205 Lauchwood Dr
Suite B
Laurinburg, NC 28352-4779

Mailing address

PO Box 602589
Charlotte, NC 28260-2589
Phone (910) 277-4410

Other names 1

  • Scotland Gastroenterology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scotland Regional Health Network4 organizations share this tax ID, including this one
Part of
Scotland Regional Health Network

Other organizations with this tax ID 3

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

Locations

205 Lauchwood Dr
Ste B
Laurinburg, NC 28352
Phone (910) 277-4410

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1083972541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602589",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602589",
            "telephone_number": "910-277-4410",
            "fax_number": "910-277-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAUCHWOOD DR",
            "address_2": "SUITE B",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524779",
            "telephone_number": "910-277-4410",
            "fax_number": "910-277-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND REGIONAL HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTLAND REGIONAL HEALTH NETWORK",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scotland Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.