NPIMap

Organization Active NPI

J. Arthur Dosher Memorial Hospital

Doing business as Dosher Medical - Oak Island

  • Rural Health Clinic/Center
  • Oak Island, NC
National Provider Identifier
1235405358
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H0150 Issued in NC
Legal business name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Doing business as
Dosher Medical - Oak Island
Practice address
4700 E Oak Island Dr
Oak Island, NC 28465-5257
Phone
(910) 457-3800
Fax
(910) 457-3931
NPI assigned
Mar 23, 2012
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Brandon Hughes
Title
Finance Director
Phone
(910) 454-4728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X H0150 NC Primary

Addresses

Primary practice location

4700 E Oak Island Dr
Oak Island, NC 28465-5257

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3800

Other names 1

  • Dosher Medical - Oak Island Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031104000362 NC Part B Supplier - Clinic/Group Practice 8921910324 Receives reassigned benefits from 64 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southport, NC; Oak Island, NC; Bald Head Island, NC
O20091014000478 NC Part A Provider - Critical Access Hospital 8921910324 Receives reassigned benefits from 72 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bald Head Island, NC; Oak Island, NC; Southport, NC
O20140110000111 NC Part A Provider - Rural Health Clinic 8921910324 Practice locations: Oak Island, NC

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235405358. Details of each certification follow.

Hospital certification: CCN 341327

Legal name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Doing business as
DOSHER MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2009
Last certification
Nov 17, 1993
Beds
25
Ownership / control type
Other
Organization structure
GovernmentNon-profit
Enrollment address
924 N Howe Street
Southport, NC 28461-3038
Other Hospital Practice Location

Rural health clinic certification: CCN 343448

Legal name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Doing business as
DOSHER MEDICAL - OAK ISLAND
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 11, 2013
Last certification
Jul 18, 2025
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
4700 E Oak Island Drive
Unit F
Oak Island, NC 28465-5257
Related CCNs
341327

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
J Arthur Dosher Memorial HospitalCCN 341327 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0967253Dosher Medical - Oak Island4700 East Oak Island Drive, Oak Island, NC 28465Certificate of waiverNov 7, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Davis Gill Individual W-2 Managing Employee Sep 25, 1989
Linda Pukenas Individual Corporate Director Jan 1, 2023
Jwantana G Frink Individual Corporate Director Jan 1, 2023
Theresa Jane Garrison Individual W-2 Managing EmployeeAd; Feb 24, 2026
Operational/Managerial ControlPatient Accounts Manager Aug 25, 2026
Randy Jones Individual Corporate Director Jan 1, 2023
Susan Daniels Individual Corporate OfficerCfo Jun 13, 2022
Robert Howard Individual Corporate Director Jan 1, 2023
Karen Taylor Individual Corporate Director Nov 1, 2011
Corporate DirectorBoard Member Jun 1, 2013
J. Arthur Dosher Memorial Hospital Organization, Southport, NC Operational/Managerial Control Nov 1, 2009
Terry L Pieper Individual Corporate Director Jan 1, 2023
Debra Wood Individual Corporate Director Jan 1, 2023
Robert M Zukoski Individual Corporate Director Jun 1, 2013
Joseph Agovino Individual Corporate Director May 1, 2013
Thomas R Siemers Individual Corporate OfficerCeo and President Jun 1, 2013
W-2 Managing EmployeeCeo and President Jun 1, 2013
Debbie M Barnes Individual Corporate DirectorBoard Member Jun 1, 2013
Karen L Lemay Individual Corporate OfficerCfo Jun 1, 2013
W-2 Managing EmployeeCfo Jun 1, 2013
Sharon Marshall Individual Corporate Director Jun 1, 2013
Don M Hughes Individual Corporate Director Jun 1, 2013
Daniel J Porter Individual Corporate OfficerCfo Feb 17, 2014

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dosher Memorial HospitalSouthport, NC, CCN 341327 Hospital Operational/Managerial Control Nov 1, 2009
Dosher Wellness CenterSouthport, NC, CCN 343465 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 363

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 363

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1235405358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800",
            "fax_number": "910-457-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E OAK ISLAND DR",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284655257",
            "telephone_number": "910-457-3800",
            "fax_number": "910-457-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "910-454-4728"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": "H0150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dosher Medical - Oak Island",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dosher Medical - Oak Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Island, NC

Sources for this page

Verify at the official NPI Registry.