Individual provider Active NPI

Martha E Dorroh, N.P.

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1902919988
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201107 Issued in NC
Practice address
1515 SW Cary Pkwy
Suite 130
Cary, NC 27511-6224
Phone
(919) 387-3180
Fax
(919) 387-3145
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201107 NC Primary

Addresses

Primary practice location

1515 SW Cary Pkwy
Suite 130
Cary, NC 27511-6224

Mailing address

1515 SW Cary Pkwy
Suite 130
Cary, NC 27511-6224
Phone (919) 387-3180

Other identifiers 1

IdentifierTypeStateIssuer
7003860MedicaidNC

Other names 1

  • Martha Susan Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1902919988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SW CARY PKWY",
            "address_2": "SUITE 130",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116224",
            "telephone_number": "919-387-3180",
            "fax_number": "919-387-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SW CARY PKWY",
            "address_2": "SUITE 130",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116224",
            "telephone_number": "919-387-3180",
            "fax_number": "919-387-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORROH",
        "first_name": "MARTHA",
        "middle_name": "E",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003860",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "EVANS",
            "middle_name": "SUSAN",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.