Nathan Carr Pulkingham MD PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D0963164 Issued in NC

Legal business name

NATHAN CARR PULKINGHAM MD PA

Practice address

1135 Carthage St
Sanford, NC 27330-4162

Phone

(919) 774-2270

NPI assigned

Jul 20, 2006

Last updated

Sep 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan C Pulkingham, MD

Title

Owner

Phone

(919) 774-2270

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1215957667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3391",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241153391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-774-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN CARR PULKINGHAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "PULKINGHAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-774-2270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0963164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904285",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "018F9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001250",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaishali Rahul Nadkarni, M.D.
• Sreejit Nair, M.D.
• Nan Transportation LLC
• Christopher Lloyd Nance, CPED
• Sam Nasseri, M.D.
• Nathan Carr Pulkingham MD PA
• National Mentor Healthcare LLC (North Carolina Mentor)
• National Mentor Healthcare, LLC (NC Mentor)
• Lester David Nave Jr., MD
• Chad Steven Neiswonger

• Clinical Medical Laboratory in Sanford, NC
• Providers in Sanford, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.