Shoeheel Medical Arts Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SHOEHEEL MEDICAL ARTS INC

Practice address

102 Pine Street
Maxton, NC 28364-1262

Phone

(910) 844-5681

Fax

(910) 844-5650

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Michael Sullivan, PHYSICIAN ASSISTANT

Title

Administrator

Phone

(910) 844-5681

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1508947599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PINE STREET",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641262",
            "telephone_number": "910-844-5681",
            "fax_number": "910-844-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PINE STREET",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641262",
            "telephone_number": "910-844-5681",
            "fax_number": "910-844-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOEHEEL MEDICAL ARTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-844-5681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343878A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343878C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosindale Family Services, Inc.
• Saving Grace Home Care LLC
• Scotland Memorial Hospital, Inc
• Securepath Transit LLC
• Shoe Heel Medical Supply Inc.
• Southeastern Coastal Transit Incorporated
• Southeastern Regional Medical Center
• Southeastern Regional Physician Services
• Southeastern Treatment Services, LLC.
• Sierra Taylor Strickland

• Rural Health Clinic/Center in Maxton, NC
• Providers in Maxton, NC by specialty
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.