NPIMap

Organization Active NPI

McDowell Internal Medicine, PA

  • Internal Medicine Physician
  • Marion, NC
National Provider Identifier
1629028840
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60364 Issued in NC
Legal business name
MCDOWELL INTERNAL MEDICINE, PA
Practice address
100 Spaulding Rd
Suite 1
Marion, NC 28752-5172
Phone
(828) 652-7776
Fax
(828) 652-7801
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mark W. Burton, M. D.
Title
President
Phone
(828) 652-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 60364 NC Primary

Addresses

Primary practice location

100 Spaulding Rd
Suite 1
Marion, NC 28752-5172

Mailing address

100 Spaulding Rd
Suite 1
Marion, NC 28752-5172
Phone (828) 652-7776

Other identifiers 2

IdentifierTypeStateIssuer
CN4218OtherNCRAILROAD MEDICARE
890215GMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1629028840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPAULDING RD",
            "address_2": "SUITE 1",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525172",
            "telephone_number": "828-652-7776",
            "fax_number": "828-652-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPAULDING RD",
            "address_2": "SUITE 1",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525172",
            "telephone_number": "828-652-7776",
            "fax_number": "828-652-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-652-7776",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "60364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN4218",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890215G",
            "state": "NC"
        }
    ],
    "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 Nov 28, 2007; 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.