Organization Active NPI

Friendship Medical Center, PA

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1306038344
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2004-01443 Issued in NC
Legal business name
FRIENDSHIP MEDICAL CENTER, PA
Practice address
400 Ashville Ave
Suite 340
Cary, NC 27518-6134
Phone
(919) 851-6260
Fax
(919) 851-6261
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Annette L. Troy, M.D.NPI 1720183387
Title
President
Phone
(919) 851-6260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 2004-01443 NC Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 2004-01443 NC

Addresses

Primary practice location

400 Ashville Ave
Suite 340
Cary, NC 27518-6134

Mailing address

400 Ashville Ave
Suite 340
Cary, NC 27518-6134
Phone (919) 851-6260

Other identifiers 1

IdentifierTypeStateIssuer
5907783MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071026000463 NC Part B Supplier - Clinic/Group Practice 1850488529 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

400 Ashville Ave
Ste 340
Cary, NC 27518
Phone (919) 233-3435

1110 SE Cary Pkwy
Ste 201
Cary, NC 27518
Phone (919) 239-4711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHGBA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1306038344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE",
            "address_2": "SUITE 340",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-851-6260",
            "fax_number": "919-851-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE",
            "address_2": "SUITE 340",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-851-6260",
            "fax_number": "919-851-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "TROY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-851-6260",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2004-01443",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2004-01443",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907783",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.