Pinehurst Geriatrics, Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PINEHURST GERIATRICS, INC

Practice address

300 Blake Blvd
Pinehurst, NC 28374-8474

Phone

(910) 295-6158

NPI assigned

Jan 18, 2007

Last updated

Feb 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Ward Patrick, M.D.NPI 1497709745

Title

President

Phone

(910) 295-6158

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• William Ward Patrick, M.D.

  • Family Medicine Physician
  • Pinehurst, NC
  • NPI 1497709745
  Authorized official Same address or phone
• Anne K Sharp, RN

  • Registered Nurse
  • Pinehurst, NC
  • NPI 1104134592
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1457403479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3290",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283743290",
            "telephone_number": "910-295-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BLAKE BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748474",
            "telephone_number": "910-295-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST GERIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "WARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-295-6158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0187F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890187F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinehurst Cardiology Consultants PLLC
• Pinehurst Chiropractic Inc
• Pinehurst Dermatology PA
• Pinehurst Family Care Center,P.a.
• Pinehurst Foot Specialist
• Pinehurst Medical Clinic Inc (Pinehurst Medical Clinic Pharmacy)
• Pinehurst Medical Clinic, Inc.
• Pinehurst Medical Clinic, Inc. (Pinehurst Medical Clinic Endoscopy Center)
• Pinehurst Medical Clinic, Inc.
• Pinehurst Nephrology Associates, PC

• Geriatric Medicine (Family Medicine) Physician in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Geriatric Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.