Active NPI
Rutherford Hospital, Inc.
- Plastic and Reconstructive Surgery Physician
- Rutherfordton, NC
National Provider Identifier
1255528477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- RUTHERFORD HOSPITAL, INC.
- Practice address
- 128 Doctor Henry Norris Dr
Rutherfordton, NC 28139-3165 - Phone
- (828) 287-7502
- Fax
- (828) 287-7504
- NPI assigned
- Oct 2, 2007
- 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
- Mr. James B. Bross Jr.
- Title
- VP/Cfo
- Phone
- (828) 286-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
128 Doctor Henry Norris Dr
Rutherfordton, NC 28139-3165
Mailing address
128 Doctor Henry Norris Dr
Rutherfordton, NC 28139-3165
Phone (828) 287-7502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019PY | Other | NC | BCBS |
| 5908651 | Medicaid | NC |
Other names 1
- Rutherford Plastic Surgery & Spa
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1255528477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 DOCTOR HENRY NORRIS DR",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281393165",
"telephone_number": "828-287-7502",
"fax_number": "828-287-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 DOCTOR HENRY NORRIS DR",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281393165",
"telephone_number": "828-287-7502",
"fax_number": "828-287-7504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTHERFORD HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "BROSS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "VP/CFO",
"authorized_official_telephone_number": "828-286-5000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "019PY",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908651",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rutherford Plastic Surgery & Spa",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rutherfordton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.