Active NPI
Rocky Mount Internal Medicine,PA
- Cardiovascular Disease Physician
- Rocky Mount, NC
National Provider Identifier
1245276724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ROCKY MOUNT INTERNAL MEDICINE,PA
- Practice address
- 117 Foy Dr
Rocky Mount, NC 27804-2418 - Phone
- (252) 443-7678
- Fax
- (252) 443-7147
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omatta M Sirisena, MD
- Title
- President
- Phone
- (252) 443-7678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
117 Foy Dr
Rocky Mount, NC 27804-2418
Mailing address
117 Foy Dr
P.O.Box 7366
Rocky Mount, NC 27804-2418
Phone (252) 443-7678
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890149C | Medicaid | NC | |
| 0149C | Other | NC | BLUE CROSS BLUE SHEILD |
National Provider Directory
National Provider DirectoryLocations
117 Foy Dr
Rocky Mount, NC 27804
Phone (252) 443-7678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256860800000",
"number": "1245276724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 FOY DR",
"address_2": "P.O.BOX 7366",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042418",
"telephone_number": "252-443-7678",
"fax_number": "252-443-7147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 FOY DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042418",
"telephone_number": "252-443-7678",
"fax_number": "252-443-7147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNT INTERNAL MEDICINE,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2009-10-30",
"status": "A",
"authorized_official_last_name": "SIRISENA",
"authorized_official_first_name": "OMATTA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-443-7678",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890149C",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "0149C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
- Rocky Mount Gynecology and Women's Health, PA
- Rocky Mount Hair Clinic
- Rocky Mount Health and Rehabilitation, LLC (South Village)
- Rocky Mount Health Care PLLC
- Rocky Mount Home Health Services LLC (Lovely Care Services, LLC)
- Rocky Mount Medical Park Pharmacy Inc (Rocky Mount Medical Park Pharmacy)
- Rocky Mount Medical Park Pharmacy, Inc (Rocky Mount Medical Park Pharmacy)
- Rocky Mount Neurosurgical and Spine Consultants, PA
- Rocky Mount Oic Family Medical Center
- Rocky Mount Opticians
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.