Active NPI
Person Memorial Hospital
- Certified Registered Nurse Anesthetist
- Roxboro, NC
National Provider Identifier
1770534190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- PERSON MEMORIAL HOSPITAL
- Practice address
- 615 Ridge Rd
Roxboro, NC 27573-4629 - Phone
- (336) 599-2121
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig James
- Title
- Administrator
- Phone
- (336) 599-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
615 Ridge Rd
Roxboro, NC 27573-4629
Mailing address
615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 599-2121
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1770534190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 RIDGE RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734629",
"telephone_number": "336-599-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 RIDGE RD",
"city": "ROXBORO",
"state": "NC",
"postal_code": "275734629",
"telephone_number": "336-599-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSON MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "336-599-2121"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxboro, NC
Sources for this page
- 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.