Active NPI
Michael T Tooke, MD
- Orthopaedic Surgery of the Spine Physician
- Greensboro, NC
National Provider Identifier
1174561179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 200501770
- Practice address
- 1130 N Church St
Suite 100
Greensboro, NC 27401-1038 - Phone
- (336) 375-2300
- Fax
- (336) 375-2314
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 200501770 | NC | Primary |
Addresses
Primary practice location
1130 N Church St
Suite 100
Greensboro, NC 27401-1038
Mailing address
PO Box 14924
Greensboro, NC 27415-4924
Phone (336) 375-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5903072 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501770 | NC | MD | Orthopaedic Surgery of the Spine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1174561179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14924",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274154924",
"telephone_number": "336-375-2300",
"fax_number": "336-375-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N CHURCH ST",
"address_2": "SUITE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011038",
"telephone_number": "336-375-2300",
"fax_number": "336-375-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOKE",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NC",
"license": "200501770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5903072",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.