NPIMap

Organization Active NPI

Maria Parham Anesthesia & Physiatry Center Inc.

  • Orthopaedic Surgery Physician
  • Henderson, NC
National Provider Identifier
1457522088
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARIA PARHAM ANESTHESIA & PHYSIATRY CENTER INC.
Practice address
120 Charles Rollins Rd
Suite 205
Henderson, NC 27536-2882
Phone
(252) 436-1314
Fax
(252) 436-1315
NPI assigned
Mar 24, 2008
Organization subpart
Yes
Parent organization
MARIA PARHAM MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mr. Jimmy Chatman
Title
Vice-Presiden of Finance/Cfo
Phone
(252) 436-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

120 Charles Rollins Rd
Suite 205
Henderson, NC 27536-2882

Mailing address

120 Charles Rollins Rd
Suite 205
Henderson, NC 27536-2882
Phone (252) 436-1314

Other names 1

  • Kerr Lake Orthopaedics Doing business as

National Provider Directory

National Provider Directory
Part of
MPH Dba Anesthesiology-

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1457522088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD",
            "address_2": "SUITE 205",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362882",
            "telephone_number": "252-436-1314",
            "fax_number": "252-436-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD",
            "address_2": "SUITE 205",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362882",
            "telephone_number": "252-436-1314",
            "fax_number": "252-436-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA PARHAM ANESTHESIA & PHYSIATRY CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIA PARHAM MEDICAL CENTER",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "VICE-PRESIDEN OF FINANCE/CFO",
        "authorized_official_telephone_number": "252-436-1110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerr Lake Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.