Active NPI
Ppadmarion LLC
- Family Medicine Physician
- Marion, NC
National Provider Identifier
1558020206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PPADMARION LLC
- Practice address
- 1211 N Main St
Marion, NC 28752-6367 - Phone
- (828) 442-5421
- Fax
- (828) 659-9584
- NPI assigned
- Dec 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Stoker, PHARMD
- Title
- Co Owner/Authorized Official
- Phone
- (828) 575-6421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1211 N Main St
Marion, NC 28752-6367
Mailing address
1211 N Main St
Marion, NC 28752-6367
Phone (828) 442-5421
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2245066 | Ppadmarion LLC | Certificate of waiver | Dec 7, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639008000000",
"number": "1558020206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N MAIN ST",
"city": "MARION",
"state": "NC",
"postal_code": "287526367",
"telephone_number": "828-442-5421",
"fax_number": "828-659-9584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N MAIN ST",
"city": "MARION",
"state": "NC",
"postal_code": "287526367",
"telephone_number": "828-442-5421",
"fax_number": "828-659-9584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PPADMARION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A",
"authorized_official_last_name": "STOKER",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CO OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "828-575-6421",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.