Halifax Northampton Internal Medicine, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

31460 Issued in NC

Legal business name

HALIFAX NORTHAMPTON INTERNAL MEDICINE, PA

Practice address

244 Smith Church Rd Ste D
Roanoke Rapids, NC 27870-4957

Phone

(252) 537-0077

Fax

(252) 537-9689

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Joyce E Chetty

Title

Office Manager

Phone

(252) 537-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1235308065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 SMITH CHURCH RD STE D",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704957",
            "telephone_number": "252-537-0077",
            "fax_number": "252-537-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 SMITH CHURCH RD STE D",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704957",
            "telephone_number": "252-537-0077",
            "fax_number": "252-537-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX NORTHAMPTON INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "CHETTY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "252-537-0077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "31460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890175N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Halifax Medical Specialists PA
• Halifax Orthopaedic & Hand Surgery Clinic PA
• Halifax Pediatrics, P.a.
• Halifax Psychiatry
• Halifax Regional Medical Center
• Halifax Regional Medical Center

• Internal Medicine Physician in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.