NPIMap

Organization Active NPI

Pioneer Health Services of Stokes County, Inc.

  • Pediatrics Physician
  • Danbury, NC
National Provider Identifier
1306133079
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.
Practice address
1030 Hospice Drive
Danbury, NC 27016-1030
Phone
(336) 593-5354
Fax
(336) 593-5331
NPI assigned
Jul 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Joseph S McNulty III
Title
Ceo
Phone
(601) 849-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1030 Hospice Drive
Danbury, NC 27016-1030

Mailing address

1030 Hospice Drive
Danbury, NC 27016-1030
Phone (336) 593-5354

Other names 1

  • Pioneer Pediatric Clinic of Danbury Doing business as

National Provider Directory

National Provider Directory

Locations

1030 Hospice Dr
Danbury, NC 27016
Phone (336) 593-5354

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1306133079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HOSPICE DRIVE",
            "city": "DANBURY",
            "state": "NC",
            "postal_code": "270161030",
            "telephone_number": "336-593-5354",
            "fax_number": "336-593-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HOSPICE DRIVE",
            "city": "DANBURY",
            "state": "NC",
            "postal_code": "270161030",
            "telephone_number": "336-593-5354",
            "fax_number": "336-593-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Pediatric Clinic of Danbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.