NPIMap

Organization Active NPI

R.P.H. Surgical, Inc.

  • Surgery Physician
  • Clayton, NC
National Provider Identifier
1205979481
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2007-00052 Issued in NC
Legal business name
R.P.H. SURGICAL, INC.
Practice address
2076 NC Hwy 42 W
Ste 240 Johnston Professional Plaza
Clayton, NC 27520-9226
Phone
(919) 553-4404
Fax
(919) 553-4150
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Robert P Hennon, MD
Title
Owner
Phone
(919) 553-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 2007-00052 NC Primary

Addresses

Primary practice location

2076 NC Hwy 42 W
Ste 240 Johnston Professional Plaza
Clayton, NC 27520-9226

Mailing address

2076 NC Hwy 42 W
Ste 240 Johnston Professional Plaza
Clayton, NC 27520-9226
Phone (919) 553-4404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1205979481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 NC HWY 42 W",
            "address_2": "STE 240 JOHNSTON PROFESSIONAL PLAZA",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275209226",
            "telephone_number": "919-553-4404",
            "fax_number": "919-553-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 NC HWY 42 W",
            "address_2": "STE 240 JOHNSTON PROFESSIONAL PLAZA",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275209226",
            "telephone_number": "919-553-4404",
            "fax_number": "919-553-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.P.H. SURGICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "HENNON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-553-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "2007-00052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.