Organization Active NPI

Zebulon Healthcare Center PA

  • General Practice Physician
  • Zebulon, NC
National Provider Identifier
1174637409
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
74082 Issued in NC
Legal business name
ZEBULON HEALTHCARE CENTER PA
Practice address
1303 Water Plant Rd.
Zebulon, NC 27597-0425
Phone
(919) 269-4101
Fax
(919) 269-8811
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Yinnan Hwang, M.D.
Title
President
Phone
(919) 269-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 74082 NC Primary

Addresses

Primary practice location

1303 Water Plant Rd.
Zebulon, NC 27597-0425

Mailing address

PO Box 425
1303 Water Plant Rd.
Zebulon, NC 27597-0425
Phone (919) 269-4101

Other identifiers 2

IdentifierTypeStateIssuer
890221JMedicaidNC
8945179MedicaidNC

Other names 1

  • Yinnan Hwang MD Former legal business name

National Provider Directory

National Provider Directory

Locations

1303 Water Plant Rd
Zebulon, NC 27597
Phone (919) 269-4101

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1174637409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 425",
            "address_2": "1303 WATER PLANT RD.",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275970425",
            "telephone_number": "919-269-4101",
            "fax_number": "919-269-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 WATER PLANT RD.",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275970425",
            "telephone_number": "919-269-4101",
            "fax_number": "919-269-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEBULON HEALTHCARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "YINNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-269-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "74082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890221J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945179",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yinnan Hwang MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Zebulon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.