Lincoln Internal Medicine, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

114730 Issued in NC

Legal business name

LINCOLN INTERNAL MEDICINE, P.A.

Practice address

607 S. Generals Blvd.
Lincolnton, NC 28092

Phone

(704) 736-9188

Fax

(704) 736-9667

NPI assigned

Jun 24, 2006

Last updated

Dec 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Toma RadutNPI 1407856461

Title

President

Phone

(704) 736-9188

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toma Radut, MD

  • Internal Medicine Physician
  • Lincolnton, NC
  • NPI 1407856461
  Medicare reassignment Care Compare group NPD Authorized official
• Stacey Thomas Herrin, FNP-C

  • Family Nurse Practitioner
  • Lincolnton, NC
  • NPI 1245916378
  Medicare reassignment Care Compare group NPD
• David Stephen Meyer, M.D.

  • Internal Medicine Physician
  • Lincolnton, NC
  • NPI 1225353477
  Medicare reassignment Care Compare group NPD
• Gabriela Meyer, MD

  • Internal Medicine Physician
  • Lincolnton, NC
  • NPI 1568787778
  Medicare reassignment Care Compare group NPD
• Julie Cook Hooper

  • Nurse Practitioner
  • Lincolnton, NC
  • NPI 1700619384
  NPD
• Nicholas Addison Walker, RD

  • Registered Dietitian
  • Lincolnton, NC
  • NPI 1508715723
  NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1659307270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 70",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "28093",
            "telephone_number": "704-736-9188",
            "fax_number": "704-736-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S. GENERALS BLVD.",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "28092",
            "telephone_number": "704-736-9188",
            "fax_number": "704-736-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN INTERNAL MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "RADUT",
        "authorized_official_first_name": "TOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-736-9188",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "114730",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "114730",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "114730",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7479411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK8825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "017NT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/ALLIANCE",
            "identifier": "2103097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROGRAM",
            "identifier": "612434200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Dental Services Inc.
• Lincoln Family Practice
• Lincoln Health System (Cornerstone Surgical)
• Lincoln Health System (Lincoln Orthopaedics)
• Lincoln Health System
• Lincoln Nursing Center
• Lincoln OB GYN Associates PA
• Lincoln Pediatrics Clinic,PA
• Lincoln Speech Services, Inc
• Lincoln Urology PA

• Internal Medicine Physician in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.