Climax Family Practice PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15968 Issued in NC

Legal business name

CLIMAX FAMILY PRACTICE PA

Practice address

1008 NC Hwy 62 East
Climax, NC 27233

Phone

(336) 674-8237

Fax

(336) 674-8968

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Conrad Little Jr., M.D.

Title

President,Owner

Phone

(336) 674-8237

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1679586309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 NC HIGHWAY 62 E",
            "city": "CLIMAX",
            "state": "NC",
            "postal_code": "272338094",
            "telephone_number": "336-674-8237",
            "fax_number": "336-674-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 NC HWY 62 EAST",
            "city": "CLIMAX",
            "state": "NC",
            "postal_code": "27233",
            "telephone_number": "336-674-8237",
            "fax_number": "336-674-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIMAX FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT,OWNER",
        "authorized_official_telephone_number": "336-674-8237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "15968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901027",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG8098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Blomquist, M.A. CCC-SLP
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• Rebecca Fields Roth, NP

• Family Medicine Physician in Climax, NC
• Providers in Climax, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.