Pioneer Health Services of Stokes County, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PIONEER HEALTH SERVICES OF STOKES COUNTY, INC

Doing business as

Pioneer Family Medical of King

Practice address

167 Moore Rd
Suite 6
King, NC 27021-8770

Phone

(336) 983-6898

Fax

(336) 983-6921

NPI assigned

Jun 12, 2013

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph S McNulty III

Title

Ceo

Phone

(601) 849-6440

Specialties & licenses 1

Addresses

Other names 1

• Pioneer Family Medical of King Doing business as

Locations

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1144668195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 MOORE RD",
            "address_2": "SUITE 6",
            "city": "KING",
            "state": "NC",
            "postal_code": "270218770",
            "telephone_number": "336-983-6898",
            "fax_number": "336-983-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 MOORE RD",
            "address_2": "SUITE 6",
            "city": "KING",
            "state": "NC",
            "postal_code": "270218770",
            "telephone_number": "336-983-6898",
            "fax_number": "336-983-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF STOKES COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Medical of King",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Novant Health Stokes Medical Center, LLC (Medical Center of King)
• Novant Medical Group Inc (Novant Health Carolina Urological Associates)
• Open Hands Caregiver Services, Inc.
• Rylie Rae Osgood
• Piedmont Foot & Ankle Associates, P.C.
• Pioneer Health Services of Stokes County, Inc. (Pioneer Medical Center of King)
• Pioneer Health Services of Stokes County, Inc. (Pioneer Family Medical and Specialty of King)
• Morgan Ruth Poindexter
• Alexa Moorefield Pope, MD
• Pqa Healthcare, Inc

• Clinic/Center in King, NC
• Providers in King, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.