Organization Active NPI

WJ Medical Associates

  • Multi-Specialty Clinic/Center
  • West Jefferson, NC
National Provider Identifier
1447488374
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
35762 Issued in NC
Legal business name
WJ MEDICAL ASSOCIATES
Practice address
405 S. Jefferson Ave.
West Jefferson, NC 28694-0070
Phone
(336) 846-6500
Fax
(663) 846-7900
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Daniel Michael Strickland, MD
Title
Director
Phone
(336) 846-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 35762 NC Primary

Addresses

Primary practice location

405 S. Jefferson Ave.
West Jefferson, NC 28694-0070

Mailing address

PO Box 70
405 S. Jefferson Ave.
West Jefferson, NC 28694-0070
Phone (336) 846-6500

Other identifiers 1

IdentifierTypeStateIssuer
891098UMedicaidNC

Other names 1

  • Women's Health Clinic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Daneil Strickland MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

405 S Jefferson Ave
West Jefferson, NC 28694
Phone (336) 846-6500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1447488374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "address_2": "405 S. JEFFERSON AVE.",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286940070",
            "telephone_number": "336-846-6500",
            "fax_number": "663-846-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S. JEFFERSON AVE.",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286940070",
            "telephone_number": "336-846-6500",
            "fax_number": "663-846-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJ MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-846-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "35762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891098U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.