NPIMap

Organization Active NPI

Maria Parham Anesthesia and Physiatry Center, Inc

  • Anesthesiology Physician
  • Henderson, NC
National Provider Identifier
1487832754
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MARIA PARHAM ANESTHESIA AND PHYSIATRY CENTER, INC
Practice address
568 Ruin Creek Rd
Suite 128
Henderson, NC 27536-2880
Phone
(252) 436-1380
Fax
(252) 436-1555
NPI assigned
Feb 8, 2008
Organization subpart
Yes
Parent organization
MARIA PARHAM MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Jim Chatman
Title
Cfo/Vice President-Finance
Phone
(252) 436-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X NC Primary

Addresses

Primary practice location

568 Ruin Creek Rd
Suite 128
Henderson, NC 27536-2880

Mailing address

568 Ruin Creek Rd
Suite 128
Henderson, NC 27536-2880
Phone (252) 436-1380

Other identifiers 2

IdentifierTypeStateIssuer
8000283MedicaidNC
790236MMedicaidNC

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1487832754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK RD",
            "address_2": "SUITE 128",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362880",
            "telephone_number": "252-436-1380",
            "fax_number": "252-436-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 RUIN CREEK RD",
            "address_2": "SUITE 128",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362880",
            "telephone_number": "252-436-1380",
            "fax_number": "252-436-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA PARHAM ANESTHESIA AND PHYSIATRY CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIA PARHAM MEDICAL CENTER",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CFO/VICE PRESIDENT-FINANCE",
        "authorized_official_telephone_number": "252-436-1101"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000283",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790236M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 30, 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.