NPIMap

Organization Active NPI

Carolina Palliative Medicine & Supportive Care PLLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • New Bern, NC
National Provider Identifier
1841669462
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
211777 Issued in NC
Legal business name
CAROLINA PALLIATIVE MEDICINE & SUPPORTIVE CARE PLLC
Practice address
1112 Green Springs Rd
New Bern, NC 28560-6622
Phone
(252) 636-4930
NPI assigned
Sep 24, 2015
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Dr. Robert John Fisher, M.D.
Title
Owner
Phone
(252) 636-4930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X 211777 NC Primary

Addresses

Primary practice location

1112 Green Springs Rd
New Bern, NC 28560-6622

Mailing address

1112 Green Springs Rd
New Bern, NC 28560-6622
Phone (252) 636-4930

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1841669462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 GREEN SPRINGS RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285606622",
            "telephone_number": "252-636-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GREEN SPRINGS RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285606622",
            "telephone_number": "252-636-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PALLIATIVE MEDICINE & SUPPORTIVE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-636-4930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "211777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.