Active NPI
Robert Wade Markham, M.D.
- Dermatology Physician
- High Point, NC
National Provider Identifier
1710111323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 13863
- Practice address
- 1305 Kensington CT.
High Point, NC 27262 - Phone
- (336) 885-6534
- NPI assigned
- May 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 13863 | NC | Primary |
Addresses
Primary practice location
1305 Kensington CT.
High Point, NC 27262
Mailing address
1305 Kensington CT.
High Point, NC 27262
Phone (336) 885-6534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13863 | Other | NC | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13863 | NC | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1710111323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 KENSINGTON CT.",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "27262",
"telephone_number": "336-885-6534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 KENSINGTON CT.",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "27262",
"telephone_number": "336-885-6534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKHAM",
"first_name": "ROBERT",
"middle_name": "WADE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "13863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "13863",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.