NPIMap

Organization Active NPI

Carolina Endocrine, P.a.

  • Clinic/Center
  • Raleigh, NC
National Provider Identifier
1093770240
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
98100717 Issued in NC
Legal business name
CAROLINA ENDOCRINE, P.A.
Practice address
3840 Ed Dr
Suite 111
Raleigh, NC 27612-8005
Phone
(919) 571-3661
Fax
(919) 571-3290
NPI assigned
Apr 19, 2006
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Dr. Michael John Thomas, MD, PHD
Title
President
Phone
(919) 571-3661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 98100717 NC Primary

Addresses

Primary practice location

3840 Ed Dr
Suite 111
Raleigh, NC 27612-8005

Mailing address

3840 Ed Dr
Suite 111
Raleigh, NC 27612-8005
Phone (919) 571-3661

National Provider Directory

National Provider Directory

Locations

3840 Ed Dr
Ste 111
Raleigh, NC 27612
Phone (919) 571-3661

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1093770240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 ED DR",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128005",
            "telephone_number": "919-571-3661",
            "fax_number": "919-571-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 ED DR",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128005",
            "telephone_number": "919-571-3661",
            "fax_number": "919-571-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA ENDOCRINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-571-3661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "98100717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.