NPIMap

Organization Active NPI

Medstaffpc

  • Family Medicine Physician
  • Lexington, NC
National Provider Identifier
1356772065
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDSTAFFPC
Practice address
3040 Junior Order Home Rd
Lexington, NC 27292
Phone
(336) 956-5505
Fax
(336) 956-5509
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Philip Kurtz
Title
Chief Executive Officer
Phone
(918) 779-7431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3040 Junior Order Home Rd
Lexington, NC 27292

Mailing address

4500 S 129TH East Ave Ste 191
Tulsa, OK 74134-5891
Phone (918) 779-7400

National Provider Directory

National Provider Directory
Tax ID family
Medstaffpc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1356772065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345891",
            "telephone_number": "918-779-7400",
            "fax_number": "918-779-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 JUNIOR ORDER HOME RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27292",
            "telephone_number": "336-956-5505",
            "fax_number": "336-956-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAFFPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-779-7431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.