Organization Active NPI

Rowan Primary Care, PC

  • Primary Care Clinic/Center
  • Salisbury, NC
National Provider Identifier
1659409944
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROWAN PRIMARY CARE, PC
Practice address
1406A W Innes St
Salisbury, NC 28144-2502
Phone
(704) 639-0407
Fax
(704) 639-9599
NPI assigned
Mar 1, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Parinda Kanaiyalal Fruchtman, MDNPI 1831277425
Title
President
Phone
(704) 639-0407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NC Primary

Addresses

Primary practice location

1406A W Innes St
Salisbury, NC 28144-2502

Mailing address

1406A W Innes St
Salisbury, NC 28144-2502
Phone (704) 639-0407

Other identifiers 1

IdentifierTypeStateIssuer
890208LMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100907000560 NC Part B Supplier - Clinic/Group Practice 9537283031 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0934701Rowan Primary Care PC1406 West Innes Street, Salisbury, NC 28144Provider-performed microscopyMar 4, 2028

National Provider Directory

National Provider Directory

Locations

1406A W Innes St
Salisbury, NC 28144
Phone (704) 639-0407

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659409944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406A W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442502",
            "telephone_number": "704-639-0407",
            "fax_number": "704-639-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406A W INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442502",
            "telephone_number": "704-639-0407",
            "fax_number": "704-639-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN PRIMARY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRUCHTMAN",
        "authorized_official_first_name": "PARINDA",
        "authorized_official_middle_name": "KANAIYALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-639-0407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890208L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.