NPIMap

DLP Maria Parham Physician Practices, LLC

Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Henderson, NC

NPI 1386990992 · NPPES record last updated Aug 1, 2012

Key facts

NPI
1386990992
Entity type
Organization (NPI type 2)
Primary specialty
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Legal business name
DLP MARIA PARHAM PHYSICIAN PRACTICES, LLC
Practice address
120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882
Phone
(252) 436-6240
Fax
(252) 492-5707
NPI assigned
Aug 1, 2012
Organization subpart
No

Authorized official

Name
Timothy D Vaughn
Title
Vice President
Phone
(615) 565-1508

Other NPIs on the same Medicare enrollment 19

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

Corporate family (same tax ID) 18

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

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111222000550 NC Part B Supplier - Clinic/Group Practice 7719153683 Receives reassigned benefits from 181 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henderson, NC; Louisburg, NC; Oxford, NC; Wake Forest, NC

National Provider Directory

Tax ID family
DLP Maria Parham Physician Practices LLC (19 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RE0101X Yes

Addresses

Primary practice location

120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882

Mailing address

120 Charles Rollins Rd
Suite 206
Henderson, NC 27536-2882
Phone (252) 436-6240

Other names

  • Maria Parham Endocrinology Doing business as

Other providers in Henderson, NC

All providers in Henderson, NC · Endocrinology, Diabetes & Metabolism Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.