Hida Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2007-00088 Issued in NC

Legal business name

HIDA CLINIC, LLC

Practice address

1939 Shoal Creek Rd
Murphy, NC 28906-8480

Phone

(828) 644-5573

Fax

(828) 644-5562

NPI assigned

Jan 3, 2008

Last updated

Sep 22, 2010By 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

Dr. Emily Jane Tatum, MD

Title

Sole Organizer

Phone

(828) 644-5573

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1154506699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 SHOAL CREEK RD",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289068480",
            "telephone_number": "828-494-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 SHOAL CREEK RD",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289068480",
            "telephone_number": "828-644-5573",
            "fax_number": "828-644-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDA CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SOLE ORGANIZER",
        "authorized_official_telephone_number": "828-644-5573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "2007-00088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lee Hartsock, FNP-C
• Brandon Thomas Hazlett, PHARMD
• Farshid Hejabiyan, DMD
• Ashley Kephart Helton, FNP-C
• Kimberly N Henson, PHARMD
• High Lonesome Therapeutic Equestrian Center
• Sandra Legail Hogsed, CCC-SLP
• Larry Benson Holder, MD
• Karen Louise Holiday, MSW, LCAS, LCSWA
• Holly C. Gutierrez, O.D., P.a.

• Primary Care Clinic/Center in Murphy, NC
• Providers in Murphy, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.