Active NPI
Novant Health New Hanover Regional Medical Center LLC
- Surgery Physician
- Wilmington, NC
National Provider Identifier
1831780139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 772-9202
- Fax
- (910) 772-9452
- NPI assigned
- Jan 29, 2021
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jon Kevin Griffin
- Title
- SVP Financial Plan and Analysis
- Phone
- (704) 384-4182
National Provider Directory
National Provider Directory- Tax ID family
- Novant Health Heart Vascul
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Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
101 N Cherry St Ste 600
Winston Salem, NC 27101-4013
Phone (336) 277-1604
Other names 1
NPPES NPI Registry- NHNHRMC PHYSICIAN GROUP MAXILLOFACIAL SURGERY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2021.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1831780139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N CHERRY ST STE 600",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271014013",
"telephone_number": "336-277-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-772-9202",
"fax_number": "910-772-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-13",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "SVP FINANCIAL PLAN AND ANALYSIS",
"authorized_official_telephone_number": "704-384-4182"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NHNHRMC PHYSICIAN GROUP MAXILLOFACIAL SURGERY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health New Hanover Regional Medical Center LLC
- Novant Health Wilmington Endoscopy Center LLC
- Novant Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.