Organization Active NPI

Paired Health Physician Group PA

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1780922740
Registry record updated Jan 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39227 Issued in NC
Legal business name
PAIRED HEALTH PHYSICIAN GROUP PA
Practice address
8310 Bandford Way
Raleigh, NC 27615-2752
Phone
(919) 719-0654
Fax
(919) 443-1122
NPI assigned
Jan 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2013

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

Authorized official

Name
Dr. Michael C Watson Jr., M.D.
Title
President
Phone
(919) 719-0654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 39227 NC Primary

Addresses

Primary practice location

8310 Bandford Way
Raleigh, NC 27615-2752

Mailing address

8310 Bandford Way
Raleigh, NC 27615-2752
Phone (919) 719-0654

National Provider Directory

National Provider Directory

Locations

8310 Bandford Way
Raleigh, NC 27615
Phone (919) 719-0654

NPI Registry JSON

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359244800000",
    "number": "1780922740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 BANDFORD WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152752",
            "telephone_number": "919-719-0654",
            "fax_number": "919-443-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 BANDFORD WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152752",
            "telephone_number": "919-719-0654",
            "fax_number": "919-443-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIRED HEALTH PHYSICIAN GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-27",
        "last_updated": "2013-01-27",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-719-0654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "39227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; 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.