NPIMap

Organization Active NPI

J. Arthur Dosher Memorial Hospital

Doing business as Dosher Medical - Bald Head Island

  • General Practice Physician
  • Bald Head Island, NC
National Provider Identifier
1376961219
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
H0150 Issued in NC
Legal business name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Doing business as
Dosher Medical - Bald Head Island
Practice address
273 Edward Teach Ext
Bald Head Island, NC 28461-5011
Phone
(910) 457-3800
NPI assigned
Mar 28, 2014
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Brandon Hughes
Title
Finance Director
Phone
(910) 454-4728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X H0150 NC Primary

Addresses

Primary practice location

273 Edward Teach Ext
Bald Head Island, NC 28461-5011

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3800

Other names 1

  • Dosher Medical - Bald Head Island Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000362 NC Part B Supplier - Clinic/Group Practice 8921910324 Receives reassigned benefits from 64 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southport, NC; Oak Island, NC; Bald Head Island, NC
O20091014000478 NC Part A Provider - Critical Access Hospital 8921910324 Receives reassigned benefits from 72 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bald Head Island, NC; Oak Island, NC; Southport, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376961219. Details of each certification follow.

Hospital certification: CCN 341327

Legal name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Doing business as
DOSHER MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2009
Last certification
Nov 17, 1993
Beds
25
Ownership / control type
Other
Organization structure
GovernmentNon-profit
Enrollment address
924 N Howe Street
Southport, NC 28461-3038
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 13

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

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
J Arthur Dosher Memorial HospitalCCN 341327 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

4700 E Oak Island Dr
Oak Island, NC 28465
Phone (910) 278-6414

1513 N Howe St
Southport, NC 28461
Phone (910) 454-8030

4672 Long Beach Rd SE
Southport, NC 28461
Phone (910) 457-3800

906 N Howe St
Southport, NC 28461
Phone (910) 454-1166

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Susan Davis Gill Individual W-2 Managing Employee Sep 25, 1989
Linda Pukenas Individual Corporate Director Jan 1, 2023
Jwantana G Frink Individual Corporate Director Jan 1, 2023
Theresa Jane Garrison Individual W-2 Managing EmployeeAd; Feb 24, 2026
Randy Jones Individual Corporate Director Jan 1, 2023
Susan Daniels Individual Corporate OfficerCfo Jun 13, 2022
Robert Howard Individual Corporate Director Jan 1, 2023
Karen Taylor Individual Corporate Director Nov 1, 2011
J. Arthur Dosher Memorial Hospital Organization, Southport, NC Operational/Managerial Control Nov 1, 2009
Terry L Pieper Individual Corporate Director Jan 1, 2023
Debra Wood Individual Corporate Director Jan 1, 2023

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

Affiliated clinicians 363

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 363

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1376961219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 EDWARD TEACH EXT",
            "city": "BALD HEAD ISLAND",
            "state": "NC",
            "postal_code": "284615011",
            "telephone_number": "910-457-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "910-454-4728"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "H0150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dosher Medical - Bald Head Island",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dosher Medical - Bald Head Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bald Head Island, NC

Sources for this page

Verify at the official NPI Registry.