Jonathan Nestor, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32548 Issued in NC

Legal business name

JONATHAN NESTOR, MD, PA

Practice address

601 E Lauchwood Dr
Laurinburg, NC 28352-5510

Phone

(910) 276-7727

Fax

(910) 277-7439

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Nestor, M.D.NPI 1154318533

Title

Physician

Phone

(910) 276-7727

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Jonathan Nestor, MD

  • Internal Medicine Physician
  • Laurinburg, NC
  • NPI 1154318533

  SC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1659424588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1889",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283531889",
            "telephone_number": "910-276-7727",
            "fax_number": "910-277-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525510",
            "telephone_number": "910-276-7727",
            "fax_number": "910-277-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN NESTOR, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "NESTOR",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "910-276-7727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "32548",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "32548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8962164",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB271",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Laurinburg, NC
• Providers in Laurinburg, 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 Jun 16, 2008; 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.