R & C Clinic Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

26148 Issued in NC

Legal business name

R & C CLINIC INC

Practice address

1019 Lenoir Rhyne Blvd SE
Hickory, NC 28602-4331

Phone

(828) 324-4143

Fax

(828) 324-6225

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rudy A Santoso, M.D.

Title

Presidnet

Phone

(828) 324-4143

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1235319146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 LENOIR RHYNE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024331",
            "telephone_number": "828-324-4143",
            "fax_number": "828-324-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 LENOIR RHYNE BLVD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024331",
            "telephone_number": "828-324-4143",
            "fax_number": "828-324-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & C CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "SANTOSO",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "828-324-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "26148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7974543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Publix North Carolina LP
• Karen Jones Puett, FNP
• Abby Huffman Pulley, M.ED., LPC, NCC
• Debbie L Punch, LCAS-A
• Gregory Brenton Queen, MS, LMFT, LCAS
• R. Gary Hensley DMD, PA II
• Jessica Raby, CCC-SLP
• Michael E Radford, CRNA
• Dan Radulescu, ANP
• Rafael Rivera, Jr, DDS, PLLC

• Psychiatry Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.