Organization Active NPI

David M Kaplan Gen PTR

Doing business as Countryside Physicians

  • Primary Care Clinic/Center
  • Stokesdale, NC
National Provider Identifier
1205961992
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20612 Issued in NC
Legal business name
DAVID M KAPLAN GEN PTR
Doing business as
Countryside Physicians
Practice address
7700 US Highway 158
Stokesdale, NC 27357-9346
Phone
(336) 643-6301
Fax
(336) 643-9906
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. David M. Kaplan, MD
Title
Doctor
Phone
(336) 643-6301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 20612 NC Primary

Addresses

Primary practice location

7700 US Highway 158
Stokesdale, NC 27357-9346

Mailing address

PO Box 829
Stokesdale, NC 27357-0829
Phone (336) 643-6301

Other identifiers 1

IdentifierTypeStateIssuer
89-01867MedicaidNC

Other names 1

  • Countryside Physicians Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1205961992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273570829",
            "telephone_number": "336-643-6301",
            "fax_number": "336-643-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 US HIGHWAY 158",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579346",
            "telephone_number": "336-643-6301",
            "fax_number": "336-643-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M KAPLAN GEN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "336-643-6301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "20612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-01867",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stokesdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.