NPIMap

Individual provider Active NPI

Andrew Bostick

  • Internal Medicine Physician
  • Elkin, NC
National Provider Identifier
1861928962
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2023-00068 Issued in NC
Practice address
180 Parkwood Dr
Elkin, NC 28621-2430
Phone
(336) 527-7000
NPI assigned
May 10, 2017
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.013635 OH
Internal Medicine Physician 207R00000X 2023-00068 NC Primary

Addresses

Primary practice location

180 Parkwood Dr
Elkin, NC 28621-2430

Mailing address

180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190816002902 OH Practitioner - Hospitalist 3274804364 Reassigns benefits to 2 organizations
I20230328000523 NC Practitioner - Hospitalist 3274804364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7298

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Jun 15, 2019 Accepting new patients
Hugh Chatham Memorial Hospital, Inc CurrentSince May 1, 2023 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Internal Medicine Current Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince May 13, 2020 Accepting new patients
Hugh Chatham Memorial Hospital, Inc Internal Medicine CurrentSince May 1, 2023 Accepting new patients

Locations

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

500 Chatham Medical Park
Elkin, NC 28621
Phone (336) 835-3136

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128

4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128
Phone (216) 910-3800

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1861928962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTICK",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.013635",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2023-00068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

Verify at the official NPI Registry.