In-House Doc, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

2001-01309 Issued in NC

Legal business name

IN-HOUSE DOC, INC

Practice address

1123 S Main St
Reidsville, NC 27320-5339

Phone

(336) 245-9519

Fax

(336) 245-4613

NPI assigned

Aug 13, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Fernando Enrique Ariza, MD

Title

President/Owner

Phone

(336) 245-9519

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• In-House Doing business as

Locations

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1194124362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E MOUNTAIN ST STE M",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843238",
            "telephone_number": "336-245-9519",
            "fax_number": "336-245-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 S MAIN ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205339",
            "telephone_number": "336-245-9519",
            "fax_number": "336-245-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOUSE DOC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "ARIZA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-245-9519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "2001-01309",
            "primary": true
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NC",
            "license": "2001-01309",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "2001-01309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10991225",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132JP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In-House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "In-House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.