Rockingham Internal Medicine Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9400830 Issued in NC

Legal business name

ROCKINGHAM INTERNAL MEDICINE ASSOCIATES PA

Practice address

507 Highland Park Dr
Eden, NC 27288-4936

Phone

(336) 623-5021

Fax

(336) 623-7902

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Xaje Adem Hasanaj, M.D.NPI 1003876871

Title

President

Phone

(336) 623-5021

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Xaje A Hasanaj, M.D.

  • Internal Medicine Physician
  • Eden, NC
  • NPI 1003876871
  Medicare reassignment NPD Authorized official
• Fran Hobson, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1578988689
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1700848645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 HIGHLAND PARK DR",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884936",
            "telephone_number": "336-623-5021",
            "fax_number": "336-623-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 HIGHLAND PARK DR",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272884936",
            "telephone_number": "336-623-5021",
            "fax_number": "336-623-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "HASANAJ",
        "authorized_official_first_name": "XAJE",
        "authorized_official_middle_name": "ADEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-623-5021",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9400830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8939986",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockingham Childrens Clinic
• Rockingham County Healthcare Alliance
• Rockingham County Schools
• Rockingham Eye Associates PA
• Rockingham Imaging PA
• John Rogers, PHARM D
• Rouses Group Home Inc
• Roy Robert Keys, PC
• Mark William Roy, MD
• Royalty Health & Wellness Resources, P.C.

• Internal Medicine Physician in Eden, NC
• Providers in Eden, 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 Feb 3, 2014; 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.