Organization Active NPI

J Arthur Dosher Memorial Hospital

Doing business as Dosher Medical Atlantic Ave

  • Family Medicine Physician
  • Southport, NC
National Provider Identifier
1124613518
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
J ARTHUR DOSHER MEMORIAL HOSPITAL
Doing business as
Dosher Medical Atlantic Ave
Practice address
819 N Atlantic Ave
Southport, NC 28461-3531
Phone
(910) 454-4635
Fax
(855) 777-2271
NPI assigned
Mar 8, 2021
Organization subpart
Yes
Parent organization
J ARTHUR DOSHER MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Brandon Hughes
Title
Finance Director
Phone
(910) 454-4728

Specialties & licenses 1

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

Addresses

Primary practice location

819 N Atlantic Ave
Southport, NC 28461-3531

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3810

Other names 1

  • Dosher Medical Atlantic Ave Doing business as

National Provider Directory

National Provider Directory
Tax ID family
J Arthur Dosher Memorial Ho7 organizations share this tax ID, including this one
Part of
J Arthur Dosher Memorial Ho

Other organizations with this tax ID 6

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

Locations

3009 Medical Plaza Ln
Southport, NC 28461
Phone (910) 454-1234

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1124613518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3810",
            "fax_number": "910-457-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N ATLANTIC AVE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613531",
            "telephone_number": "910-454-4635",
            "fax_number": "855-777-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J ARTHUR DOSHER MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "J ARTHUR DOSHER MEMORIAL HOSPITAL",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "910-454-4728"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dosher Medical Atlantic Ave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.