Organization Active NPI

Scotland Memorial Hospital Inc

  • Surgery Physician
  • Laurinburg, NC
National Provider Identifier
1104918754
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SCOTLAND MEMORIAL HOSPITAL INC
Practice address
500 Lauchwood Dr
Laurinburg, NC 28352
Phone
(910) 291-7000
Fax
(910) 276-0571
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Lucien Stonge
Title
Cfo
Phone
(910) 291-7547

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X

Addresses

Primary practice location

500 Lauchwood Dr
Laurinburg, NC 28352

Mailing address

PO Box 604093
Charlotte, NC 28260-4093
Phone (910) 291-7000

Other practice location 1

521 Lauchwood Dr
Laurinburg, NC 28352-5502
Phone (910) 276-1702

Other practice location 2

601 Lauchwood Dr
Laurinburg, NC 28352-5510
Phone (910) 291-7000

Other identifiers 4

IdentifierTypeStateIssuer
HBP928MedicaidSC
017V3OtherNCBCBS GROUP NUMBER
79011P9MedicaidNC
DF9594OtherNCRAILROAD MEDICARE

Other names 1

  • Sterling Surgical Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000382 NC Part B Supplier - Clinic/Group Practice 0648208504 Receives reassigned benefits from 492 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laurinburg, NC; Wagram, NC; Pembroke, NC

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Scotland Emergency Phys27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1104918754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604093",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604093",
            "telephone_number": "910-291-7000",
            "fax_number": "910-276-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352",
            "telephone_number": "910-291-7000",
            "fax_number": "910-276-0571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Lauchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525502",
            "country_code": "US",
            "telephone_number": "910-276-1702",
            "fax_number": "910-276-0571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Lauchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525510",
            "country_code": "US",
            "telephone_number": "910-291-7000",
            "fax_number": "910-276-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTLAND MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "STONGE",
        "authorized_official_first_name": "LUCIEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-291-7547"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HBP928",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "017V3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79011P9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF9594",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sterling Surgical Services",
            "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 Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.