NPIMap

Organization Active NPI

Northshore Family Medicine, P.C.

  • Family Medicine Physician
  • Gadsden, AL
National Provider Identifier
1104969898
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17428 Issued in AL
Legal business name
NORTHSHORE FAMILY MEDICINE, P.C.
Practice address
303 Bay St
Suite 203
Gadsden, AL 35901-5265
Phone
(256) 546-5232
Fax
(256) 546-5208
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Thomas Dwight Harper, M.D.
Title
Physician
Phone
(256) 546-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 17428 AL Primary

Addresses

Primary practice location

303 Bay St
Suite 203
Gadsden, AL 35901-5265

Mailing address

303 Bay St
Suite 203
Gadsden, AL 35901-5265
Phone (256) 546-5232

National Provider Directory

National Provider Directory

Locations

303 Bay St
Ste 203
Gadsden, AL 35901
Phone (256) 546-3345

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1104969898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BAY ST",
            "address_2": "SUITE 203",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015265",
            "telephone_number": "256-546-5232",
            "fax_number": "256-546-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BAY ST",
            "address_2": "SUITE 203",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015265",
            "telephone_number": "256-546-5232",
            "fax_number": "256-546-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DWIGHT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-546-5232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "17428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.