NPIMap

Individual provider Active NPI

Ronald Michael Lather, MD

  • Internal Medicine Physician
  • New Bern, NC
National Provider Identifier
1710970660
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0035405 Issued in NC
Practice address
108 Market St
New Bern, NC 28560-6704
Phone
(252) 672-0224
Fax
(252) 672-0227
NPI assigned
Aug 25, 2005
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0035405 NC Primary

Addresses

Primary practice location

108 Market St
New Bern, NC 28560-6704

Mailing address

PO Box 12248
New Bern, NC 28561-2248
Phone (252) 672-0224

Other identifiers 3

IdentifierTypeStateIssuer
1149XOtherNCBLUE CROSS
2192365DOtherNCMEDICARE PTAN
891149XMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000602 NC Practitioner - Internal Medicine 4284733742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians

Practice addresses (Care Compare)

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 638-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0035405NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA CurrentSince Jan 5, 2015 Accepting new patients
Coastal Carolina Health Care PA Internal Medicine Current Accepting new patients
Coastal Carolina Health Care PA CurrentSince Jan 5, 2015 Accepting new patients
Coastal Carolina Health Care PA Internal Medicine PastSince Sep 5, 2023 Accepting new patients

Locations

1010 Lathan Ln
New Bern, NC 28562
Phone (252) 672-0224

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

108 Market St
New Bern, NC 28560
Phone (252) 636-2774

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

Interoperability endpoints

  • Direct secure messaging: rlather27168@coastalcarolinahealthcenter.gardenplot.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1710970660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-672-0224",
            "fax_number": "252-672-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MARKET ST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285606704",
            "telephone_number": "252-672-0224",
            "fax_number": "252-672-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHER",
        "first_name": "RONALD",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "0035405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1149X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2192365D",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891149X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.