NPIMap

Organization Active NPI

Louisburg Internal Medicine

  • Internal Medicine Physician
  • Louisburg, NC
National Provider Identifier
1487616629
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOUISBURG INTERNAL MEDICINE
Practice address
948 N Main St
Louisburg, NC 27549-2149
Phone
(919) 496-3375
Fax
(919) 496-5669
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
David King, MDNPI 1518953017
Title
President
Phone
(919) 496-3375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

948 N Main St
Louisburg, NC 27549-2149

Mailing address

948 N Main St
Louisburg, NC 27549-2149
Phone (919) 496-3375

National Provider Directory

National Provider Directory

Locations

948 N Main St
Louisburg, NC 27549
Phone (919) 496-3375

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1487616629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 N MAIN ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492149",
            "telephone_number": "919-496-3375",
            "fax_number": "919-496-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 N MAIN ST",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492149",
            "telephone_number": "919-496-3375",
            "fax_number": "919-496-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISBURG INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-496-3375",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.