Northwest Medical Partners, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30025 Issued in NC

Legal business name

NORTHWEST MEDICAL PARTNERS, P.A.

Practice address

280 North Pointe Blvd.
Mt. Airy, NC 27030-2267

Phone

(336) 786-4133

Fax

(336) 786-4338

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Donald N. Gardner, M.D.

Title

President

Phone

(336) 786-4133

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1477526861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 NORTH POINTE BLVD.",
            "city": "MT. AIRY",
            "state": "NC",
            "postal_code": "270302267",
            "telephone_number": "336-786-4133",
            "fax_number": "336-786-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NORTH POINTE BLVD.",
            "city": "MT. AIRY",
            "state": "NC",
            "postal_code": "270302267",
            "telephone_number": "336-786-4133",
            "fax_number": "336-786-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL PARTNERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-786-4133",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000989",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "30025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901HN",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NC",
            "identifier": "011NM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Mt. Airy, NC
• Providers in Mt. Airy, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.