NPIMap

Organization Active NPI

St Lukes Physician Network Inc

  • Surgery Physician
  • Columbus, NC
National Provider Identifier
1205088796
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ST LUKES PHYSICIAN NETWORK INC
Practice address
101 Hospital Dr
Columbus, NC 28722-6418
Phone
(828) 894-3311
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ST LUKES HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Charles C Highsmith Jr.
Title
Ceo
Phone
(828) 894-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

101 Hospital Dr
Columbus, NC 28722-6418

Mailing address

PO Box 505
Columbus, NC 28722-0505
Phone (828) 894-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000465 NC Part B Supplier - Clinic/Group Practice 8224190277 Receives reassigned benefits from 3 practitioners
5 other NPIs on this enrollment
Practice locations: Lincolnton, NC; Wilmington, NC; Shelby, NC; Monroe, NC; Laurinburg, NC; Concord, NC; Columbus, NC; Charlotte, NC

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
St Lukes Hospital

Practitioners & affiliated clinicians

Practitioners 3

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1205088796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287220505",
            "telephone_number": "828-894-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287226418",
            "telephone_number": "828-894-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES PHYSICIAN NETWORK INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES HOSPITAL INC",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "HIGHSMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-894-3311",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.