Active NPI
Constant Shubert Masere, M.D.
- Family Medicine Physician
- Henderson, NC
National Provider Identifier
1275723900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2010-00429
- Practice address
- 100 W Parkview Dr
Henderson, NC 27536-5923 - Phone
- (252) 438-3549
- Fax
- (252) 438-2084
- NPI assigned
- Jul 30, 2007
- Last updated
- Aug 31, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116019782 | VA | |
| Family Medicine Physician | 207Q00000X | 2010-00429 | NC | Primary |
Addresses
Primary practice location
100 W Parkview Dr
Henderson, NC 27536-5923
Mailing address
100 W Parkview Dr
Henderson, NC 27536-5923
Phone (252) 438-3549
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010-00429 | NC | MD | Family Medicine Physician |
| 0116019782 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Community Health Centers | Past | Accepting new patients | |
| First Choice Community Health Centers | Family Medicine | Past | Accepting new patients |
| First Choice Community Health Centers | Family Medicine | Past | Accepting new patients |
| First Choice Community Health Centers | Family Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Lillington, NC
- NPI 1083971279
-
dba Angier Medical Center
- Family Medicine Physician
- Angier, NC
- NPI 1457374324
-
dba Benhaven Medical Center
- Family Medicine Physician
- Cameron, NC
- NPI 1740203611
-
dba Anderson Creek Medical Center
- Family Medicine Physician
- Spring Lake, NC
- NPI 1902829153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1275723900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W PARKVIEW DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365923",
"telephone_number": "252-438-3549",
"fax_number": "252-438-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W PARKVIEW DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275365923",
"telephone_number": "252-438-3549",
"fax_number": "252-438-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASERE",
"first_name": "CONSTANT",
"middle_name": "SHUBERT",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116019782",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2010-00429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
- Maria Parham Anesthesia and Physiatry Center, Inc
- Maria Parham Medical Center
- Maria Parham Nephrology & Hypertension
- Kristen Marshall
- Leigh Lampley Martin, M.ED, LPCA, NCC
- Alina Mason
- Mast Drug Co Inc (Mast Family Drug LTC)
- Mast Drug Co Inc (Mast Family Drug)
- Mast Drug Co. Inc (Mast Family Drug)
- Mast Drug Co. Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.