NPIMap

Robeson Pediatrics, P.a.

Organization Active NPI Pediatric Adolescent Medicine Physician · Lumberton, NC

NPI 1497071526 · NPPES record last updated Apr 14, 2015

Key facts

NPI
1497071526
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Adolescent Medicine Physician 2080A0000X
License
200300493 (NC)
Legal business name
ROBESON PEDIATRICS, P.A.
Practice address
3001 N Elm St
Lumberton, NC 28358-2984
Phone
(910) 674-4203
Fax
(910) 674-4213
NPI assigned
Apr 14, 2010
Organization subpart
No

Authorized official

Name
Katie Lowry, M.D. NPI 1700888518
Title
President
Phone
(910) 674-4203

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

Practitioners 5

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

National Provider Directory

Locations

3001 N Elm St
Ste A
Lumberton, NC 28358

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2080A0000X 200300493 NC Yes

Addresses

Primary practice location

3001 N Elm St
Lumberton, NC 28358-2984

Mailing address

3001 N Elm St
Lumberton, NC 28358-2984
Phone (910) 674-4203

Other identifiers

IdentifierTypeStateIssuer
89134J4MedicaidNC
134J4OtherNCBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 14, 2015.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1497071526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582984",
            "telephone_number": "910-674-4203",
            "fax_number": "910-674-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582984",
            "telephone_number": "910-674-4203",
            "fax_number": "910-674-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBESON PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-674-4203",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": "200300493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134J4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "134J4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

All providers in Lumberton, NC · Pediatric Adolescent Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.