NPIMap

Organization Active NPI

Park Ridge Cardiology, PLLC

  • Clinical Medical Laboratory
  • Hendersonville, NC
National Provider Identifier
1275772378
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
34D0928163 Issued in NC
Legal business name
PARK RIDGE CARDIOLOGY, PLLC
Practice address
50 Hospital Dr Ste 3B
Hendersonville, NC 28792-5245
Phone
(828) 684-2234
Fax
(828) 684-6693
NPI assigned
Feb 12, 2009
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Royce K Bailey, MDNPI 1518961853
Title
Owner/Manager
Phone
(828) 684-2234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 34D0928163 NC Primary

Addresses

Primary practice location

50 Hospital Dr Ste 3B
Hendersonville, NC 28792-5245

Mailing address

50 Hospital Dr Ste 3B
Hendersonville, NC 28792-5245
Phone (828) 684-2234

Other identifiers 2

IdentifierTypeStateIssuer
0227UOtherNCBLUE CROSS NC
890227UMedicaidNC

National Provider Directory

National Provider Directory

Locations

50 Hospital Dr
Ste 3B
Hendersonvlle, NC 28792
Phone (828) 684-2234

Practitioners & affiliated clinicians

Practitioners 1

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": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1275772378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR STE 3B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925245",
            "telephone_number": "828-684-2234",
            "fax_number": "828-684-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR STE 3B",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925245",
            "telephone_number": "828-684-2234",
            "fax_number": "828-684-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ROYCE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "828-684-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0928163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NC",
            "identifier": "0227U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890227U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.