Organization Active NPI

Richlands Healthcare, P.C.

  • Physician Assistant
  • Richlands, NC
National Provider Identifier
1164619532
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101857 Issued in NC
Legal business name
RICHLANDS HEALTHCARE, P.C.
Practice address
350 Wilmington Street
Richlands, NC 28574
Phone
(910) 324-1291
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
William Robert Canupp
Title
Chief Financial Officer
Phone
(910) 324-3125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101857 NC Primary

Addresses

Primary practice location

350 Wilmington Street
Richlands, NC 28574

Mailing address

2087 Catherine Lake Rd
Richlands, NC 28574-8122
Phone (910) 324-3125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1164619532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 CATHERINE LAKE RD",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285748122",
            "telephone_number": "910-324-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WILMINGTON STREET",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "28574",
            "telephone_number": "910-324-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLANDS HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "CANUPP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "910-324-3125"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.