NPIMap

Organization Active NPI

Boiling Springs Medical Associates, PA

  • Primary Care Clinic/Center
  • Boiling Springs, NC
National Provider Identifier
1275592677
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
32231 Issued in NC
Legal business name
BOILING SPRINGS MEDICAL ASSOCIATES, PA
Practice address
305 W. College Ave.
Boiling Springs, NC 28017-0815
Phone
(704) 434-0365
Fax
(704) 434-2801
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Robert Marshall Dorn, M.D.
Title
President & Owner
Phone
(704) 434-0365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 32231 NC Primary

Addresses

Primary practice location

305 W. College Ave.
Boiling Springs, NC 28017-0815

Mailing address

PO Box 815
Boiling Springs, NC 28017-0815
Phone (704) 434-0365

Other identifiers 1

IdentifierTypeStateIssuer
8901123MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1275592677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280170815",
            "telephone_number": "704-434-0365",
            "fax_number": "704-434-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W. COLLEGE AVE.",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280170815",
            "telephone_number": "704-434-0365",
            "fax_number": "704-434-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOILING SPRINGS MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "704-434-0365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "32231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901123",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.