NPIMap

Organization Active NPI

J. Arthur Dosher Memorial Hospital

Doing business as Dosher Medical - 905 N Howe St

  • Internal Medicine Physician
  • Southport, NC
National Provider Identifier
1831505346
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
J. ARTHUR DOSHER MEMORIAL HOSPITAL
Doing business as
Dosher Medical - 905 N Howe St
Practice address
905 N Howe St
Southport, NC 28461-3037
Phone
(910) 457-5657
Fax
(910) 457-0909
NPI assigned
Jul 3, 2014
Last updated
Jul 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Mr. Daniel Porter
Title
Cfo
Phone
(910) 457-3910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NC Primary
Gynecology Physician 207VG0400X NC

Addresses

Primary practice location

905 N Howe St
Southport, NC 28461-3037

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3800

Other names 1

  • Dosher Medical - 905 N Howe St Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031104000362 NC Part B Supplier - Clinic/Group Practice 8921910324 Receives reassigned benefits from 64 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southport, NC; Oak Island, NC; Bald Head Island, NC

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2085133Dosher Medical905 N Howe Street, Southport, NC 28461Certificate of waiverOct 7, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1831505346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800",
            "fax_number": "910-457-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613037",
            "telephone_number": "910-457-5657",
            "fax_number": "910-457-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. ARTHUR DOSHER MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-457-3910",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dosher Medical - 905 N Howe St",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.