Organization Active NPI

Medlink Medical Associates, PA

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1558709535
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9501704 Issued in NC
Legal business name
MEDLINK MEDICAL ASSOCIATES, PA
Practice address
2031 Martin Luther King Jr Dr Ste a
Greensboro, NC 27406-3300
Phone
(336) 641-2100
Fax
(336) 641-2110
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Dr. Sami Abdus Hassan, M.D.
Title
Owner
Phone
(336) 641-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 9501704 NC Primary

Addresses

Primary practice location

2031 Martin Luther King Jr Dr Ste a
Greensboro, NC 27406-3300

Mailing address

8518 Rosedale Dr
Oak Ridge, NC 27310-8712
Phone (336) 641-2100

Other identifiers 1

IdentifierTypeStateIssuer
890278LMedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1558709535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 ROSEDALE DR",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273108712",
            "telephone_number": "336-641-2100",
            "fax_number": "336-641-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MARTIN LUTHER KING JR DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063300",
            "telephone_number": "336-641-2100",
            "fax_number": "336-641-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK MEDICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SAMI",
        "authorized_official_middle_name": "ABDUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-641-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9501704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890278L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.