Halifax Medical Specialists PA

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HALIFAX MEDICAL SPECIALISTS PA

Practice address

270 Smith Church Road
Roanoke Rapids, NC 27870-4914

Phone

(252) 537-0134

Fax

(252) 537-6515

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Gerardo M Maradiaga, MD

Title

Secretary Treasurer

Phone

(252) 537-0134

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740351279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SMITH CHURCH ROAD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704914",
            "telephone_number": "252-537-0134",
            "fax_number": "252-537-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SMITH CHURCH ROAD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704914",
            "telephone_number": "252-537-0134",
            "fax_number": "252-537-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALIFAX MEDICAL SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARADIAGA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "252-537-0134",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "01746",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901746",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Guy
• Halifax Anesthesia and Pain Clinic, Inc.
• Halifax Anesthesia and Pain Clinic, PC
• Halifax Eye Center PA
• Halifax Gastroenterology PC
• Halifax Northampton Internal Medicine, PA
• Halifax Orthopaedic & Hand Surgery Clinic PA
• Halifax Pediatrics, P.a.
• Halifax Psychiatry
• Halifax Regional Medical Center (HRMC Psychiatric SVCS)

• Multi-Specialty Clinic/Center in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.