NPIMap

Organization Active NPI

Rowan Diagnostic Clinic, PA

Doing business as RDC Specialty Care

  • Pulmonary Disease Physician
  • Salisbury, NC
National Provider Identifier
1376308718
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ROWAN DIAGNOSTIC CLINIC, PA
Doing business as
RDC Specialty Care
Practice address
1809 Brenner Ave Ste 202
Salisbury, NC 28144-2567
Phone
(704) 633-7220
NPI assigned
Feb 15, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ROWAN DIAGNOSTIC CLINIC, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Ryan Starrett
Title
Practice Administrator
Phone
(704) 216-7064

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary
Rheumatology Physician 207RR0500X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

1809 Brenner Ave Ste 202
Salisbury, NC 28144-2567

Mailing address

611 Mocksville Ave
Salisbury, NC 28144-2705
Phone (704) 633-7220

Other names 1

  • RDC SPECIALTY CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000907 NC Part B Supplier - Clinic/Group Practice 9335037944 Receives reassigned benefits from 32 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salisbury, NC; Faith, NC

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Rowan Diagnostic Clinic10 organizations share this tax ID, including this one
Part of
Rowan Diagnostic Clinic

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1376308718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MOCKSVILLE AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442705",
            "telephone_number": "704-633-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 BRENNER AVE STE 202",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442567",
            "telephone_number": "704-633-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN DIAGNOSTIC CLINIC, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROWAN DIAGNOSTIC CLINIC, PA",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-04-10",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "STARRETT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-216-7064"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RDC SPECIALTY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RDC SPECIALTY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.