NPIMap

Organization Active NPI

The Moses H. Cone Memorial Hospital Operating Corporation

Doing business as MedCenter Urgent Care Kernersville

  • Family Medicine Physician
  • Kernersville, NC
National Provider Identifier
1144511460
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Doing business as
MedCenter Urgent Care Kernersville
Practice address
1635 NC Highway 66 S
Suite 145
Kernersville, NC 27284-3854
Phone
(336) 992-4800
Fax
(336) 996-2229
NPI assigned
Apr 20, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Mr. Kenneth K. Boggs
Title
Cfo & Treasurer
Phone
(336) 832-8005

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Sports Medicine (Family Medicine) Physician 207QS0010X NU
Internal Medicine Physician 207R00000X NU
Sports Medicine (Preventive Medicine) Physician 2083S0010X NU
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

1635 NC Highway 66 S
Suite 145
Kernersville, NC 27284-3854

Mailing address

PO Box 405633
Atlanta, GA 30384-5633
Phone (336) 832-3677

Other names 1

  • MedCenter Urgent Care Kernersville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Mem Hosp39 organizations share this tax ID, including this one
Part of
Moses Cone Mem Hosp

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1144511460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405633",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845633",
            "telephone_number": "336-832-3677",
            "fax_number": "336-832-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NC HIGHWAY 66 S",
            "address_2": "SUITE 145",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843854",
            "telephone_number": "336-992-4800",
            "fax_number": "336-996-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CFO & TREASURER",
        "authorized_official_telephone_number": "336-832-8005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCenter Urgent Care Kernersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.