Active NPI
Surry Medical Specialists, PA
- Specialist
- Mount Airy, NC
National Provider Identifier
1437118155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19746
- Legal business name
- SURRY MEDICAL SPECIALISTS, PA
- Practice address
- 708 S South St
Mount Airy, NC 27030-4426 - Phone
- (336) 786-6146
- Fax
- (336) 786-8973
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles R Bokesch, MD
- Title
- Medical Director
- Phone
- (336) 786-6146
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19746 | NC | Primary |
Addresses
Primary practice location
708 S South St
Mount Airy, NC 27030-4426
Mailing address
708 S South St
Mount Airy, NC 27030-4426
Phone (336) 786-6146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902781 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
708 S South St
Ste 200
Mount Airy, NC 27030
Phone 3367864522 ext. 3352
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mount Airy, NC
- NPI 1184617722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437118155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304426",
"telephone_number": "336-786-6146",
"fax_number": "336-786-8973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304426",
"telephone_number": "336-786-6146",
"fax_number": "336-786-8973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURRY MEDICAL SPECIALISTS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOKESCH",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "336-786-6146",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "19746",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902781",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, NC
- Yoonho Sung, DDS
- Surry Community Health Center by Harborview, LLC (Surry Community Health Center by Harborview)
- Surry County Convalescent Services
- Surry County Health and Nutrition Center (Surry County Friends of Seniors)
- Surry Medical Ministries Foundation Inc
- Surry Regional Health Services
- Surry Regional Health Services (Pulmonary Associates)
- Surry Regional Health Services (Northern Pediatric Center)
- Surry Regional Health Services , Inc. (Surry Urological Associates)
- Surry Regional Health Services Inc (Northern Wellness & Fitness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.