Active NPI
Carolina Internal Medicine of Sanford PA
- Internal Medicine Physician
- Sanford, NC
National Provider Identifier
1104018779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200100910
- Legal business name
- CAROLINA INTERNAL MEDICINE OF SANFORD PA
- Practice address
- 4546 Hwy 87 South
Sanford, NC 27332-0212 - Phone
- (919) 499-5151
- Fax
- (919) 499-5147
- NPI assigned
- Aug 16, 2007
- 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. Steven P Michael, DO
- Title
- Provider
- Phone
- (919) 499-5151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200100910 | NC | Primary |
Addresses
Primary practice location
4546 Hwy 87 South
Sanford, NC 27332-0212
Mailing address
4546 Hwy 87 South
Sanford, NC 27332-0212
Phone (919) 499-5151
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89129M4 | Medicaid | NC | |
| 129M4 | Other | NC | BCBS OF NC |
| DG1604 | Other | NC | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1104018779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4546 HWY 87 SOUTH",
"city": "SANFORD",
"state": "NC",
"postal_code": "273320212",
"telephone_number": "919-499-5151",
"fax_number": "919-499-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4546 HWY 87 SOUTH",
"city": "SANFORD",
"state": "NC",
"postal_code": "273320212",
"telephone_number": "919-499-5151",
"fax_number": "919-499-5147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA INTERNAL MEDICINE OF SANFORD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "MICHAEL",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "919-499-5151",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "200100910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89129M4",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "129M4",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "DG1604",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
- Carolina Brain Wellness Center PLLC
- Carolina Dialysis, LLC (Carolina Dialysis- Lee County)
- Carolina Dialysis, LLC (Carolina Dialysis - Sanford)
- Carolina Eye Associates Inc (Carolina Eye Associates PA)
- Carolina Internal Medicine Center PA
- Carolina Medicine, P.C.
- Carolina Medicine, P.C.
- Carolina Pines Family Medicine
- Carolina Women's Health Center, PA
- Kayln Carroll-Carter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.