NPIMap

Organization Active NPI

Scotland Regional Health Network

Doing business as Scotland Gastroenterology

  • Gastroenterology Physician
  • Laurinburg, NC
National Provider Identifier
1841565447
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SCOTLAND REGIONAL HEALTH NETWORK
Doing business as
Scotland Gastroenterology
Practice address
205 Lauchwood Drive
Suite a
Laurinburg, NC 28352-4604
Phone
(910) 277-4410
Fax
(910) 277-4223
NPI assigned
Mar 14, 2012
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SCOTLAND REGIONAL HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Daniel Wiens
Title
Senior Vice President
Phone
(704) 355-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

205 Lauchwood Drive
Suite a
Laurinburg, NC 28352-4604

Mailing address

PO Box 602589
Charlotte, NC 28260-2589
Phone (910) 277-4410

Other identifiers 2

IdentifierTypeStateIssuer
5920042MedicaidNC
NPB481MedicaidSC

Other names 1

  • Scotland Gastroenterology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000242 NC Part B Supplier - Clinic/Group Practice 2365573185 Receives reassigned benefits from 282 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laurinburg, NC; Pembroke, NC

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Part of
Scotland Regional Health Network

Locations

205 Lauchwood Dr
Ste A
Laurinburg, NC 28352
Phone (910) 277-4410

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1841565447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602589",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602589",
            "telephone_number": "910-277-4410",
            "fax_number": "910-277-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LAUCHWOOD DRIVE",
            "address_2": "SUITE A",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524604",
            "telephone_number": "910-277-4410",
            "fax_number": "910-277-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND REGIONAL HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTLAND REGIONAL HEALTH NETWORK",
        "enumeration_date": "2012-03-14",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-355-0648"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920042",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB481",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scotland Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.