Mash, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MASH, LLC

Doing business as

Bedsiide
OnPulse

Practice address

112 S Duke St
Suite #1
Durham, NC 27701-3172

Phone

(919) 294-9410

Fax

(919) 827-4998

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Corenthian Jerome Booker, M.D.

Title

Owner

Phone

(919) 808-1395

Specialties & licenses 1

Addresses

Other names 2

• Bedsiide Doing business as
• OnPulse Doing business as

Locations

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1477949865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52383",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277172383",
            "telephone_number": "919-808-1395",
            "fax_number": "919-827-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S DUKE ST",
            "address_2": "SUITE #1",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013172",
            "telephone_number": "919-294-9410",
            "fax_number": "919-827-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "BOOKER",
        "authorized_official_first_name": "CORENTHIAN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-808-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedsiide",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OnPulse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary C. Gaddis, DDS
• Mary Louise Health & Home Care Services, LLC
• Marys Amazen Transportation
• Richard Mascardi, COTA
• Luisa Camille Masclans, MD
• Taylor Mesha Mashburn, MS, CCC-SLP
• Kathryn Masincupp, PHARMD
• Lauren Mask, RN
• William Kenneth Mask, M.D.
• Stacey Maskarinec, MD, PHD

• General Practice Physician in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.