Active NPI
Marion Butler Pate III, MD
- Gastroenterology Physician
- Sanford, NC
National Provider Identifier
1265438600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 30448
- Practice address
- 110 Dennis Dr
Sanford, NC 27330-6343 - Phone
- (919) 774-4511
- Fax
- (919) 774-3196
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 30448 | NC | Primary |
Addresses
Primary practice location
110 Dennis Dr
Sanford, NC 27330-6343
Mailing address
205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Interoperability endpoints
- marion.pate.1@23663.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba PMC Reference Lab
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1265438600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748749",
"telephone_number": "910-295-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 DENNIS DR",
"city": "SANFORD",
"state": "NC",
"postal_code": "273306343",
"telephone_number": "919-774-4511",
"fax_number": "919-774-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "MARION",
"middle_name": "BUTLER",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "30448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.