Active NPI
Paige N Holder, PA
- Physician Assistant
- Concord, NC
National Provider Identifier
1588855993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001000993
- Practice address
- 200 Medical Park Dr
Concord Internal & Pulmonary Medicine
Concord, NC 28025-2982 - Phone
- (704) 783-1307
- Fax
- (704) 783-1090
- NPI assigned
- Aug 9, 2007
- Last updated
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001000993 | NC | Primary |
Addresses
Primary practice location
200 Medical Park Dr
Concord Internal & Pulmonary Medicine
Concord, NC 28025-2982
Mailing address
200 Medical Park Dr
Concord Internal & Pulmonary Medicine
Concord, NC 28025-2982
Phone (704) 783-1307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232009 | Other | NC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001000993 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1588855993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK DR",
"address_2": "CONCORD INTERNAL & PULMONARY MEDICINE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252982",
"telephone_number": "704-783-1307",
"fax_number": "704-783-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PARK DR",
"address_2": "CONCORD INTERNAL & PULMONARY MEDICINE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252982",
"telephone_number": "704-783-1307",
"fax_number": "704-783-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "PAIGE",
"middle_name": "N",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001000993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "232009",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.