Active NPI
Maria Parham Anesthesia and Physiatry Center, Inc
- Specialist
- Henderson, NC
National Provider Identifier
1558435388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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) 436-1581
- NPI assigned
- Nov 20, 2006
- Last updated
- Apr 30, 2008
- Organization subpart
- Yes
- Parent organization
- MARIA PARHAM MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Chatman
- Title
- Vice President of Operations
- Phone
- (252) 438-4143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | 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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89014EP | Medicaid | NC |
National Provider Directory
National Provider Directory- Part of
- Maria Parham Medical Center
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.
-
- Rural Acute Care Hospital
- Henderson, NC
- NPI 1760660310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1558435388",
"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": "252-436-1581"
},
{
"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": "252-436-1581"
}
],
"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": "2006-11-20",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "CHATMAN",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "252-438-4143"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89014EP",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NC
- Kevin James Maltais, CRNA
- Maria Parham Anesthesia & Physiatry Center Inc. (Kerr Lake Orthopaedics)
- Maria Parham Anesthesia and Physiatry Center Inc (Dba Northern Carolina Cardiology)
- Maria Parham Anesthesia and Physiatry Center Inc (DBA Northern Carolina Surgical Associates)
- Maria Parham Anesthesia and Physiatry Center, Inc
- Maria Parham Medical Center
- Maria Parham Nephrology & Hypertension
- Kristen Marshall
- Leigh Lampley Martin, M.ED, LPCA, NCC
- Constant Shubert Masere, M.D.
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.