Organization Active NPI

Hickory Internal Medicine, Hypertension & Renal Associates

  • Nephrology Physician
  • Hickory, NC
National Provider Identifier
1912073362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35141 Issued in NC
Legal business name
HICKORY INTERNAL MEDICINE, HYPERTENSION & RENAL ASSOCIATES
Practice address
50 13TH Ave NE
Suite 2a
Hickory, NC 28601-3748
Phone
(828) 322-2541
Fax
(828) 324-7862
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda A Gensheimer
Title
Practice Administrator
Phone
(828) 322-3541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35141 NC Primary

Addresses

Primary practice location

50 13TH Ave NE
Suite 2a
Hickory, NC 28601-3748

Mailing address

401 Mulberry St SW
Suite 105
Lenoir, NC 28645-5463
Phone (828) 322-3541

Other identifiers 1

IdentifierTypeStateIssuer
890163YMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Hickory Internal Medicine Hypertension Renal Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 Mulberry St SW
Ste 105
Lenoir, NC 28645
Phone (828) 754-2464

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912073362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW",
            "address_2": "SUITE 105",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-322-3541",
            "fax_number": "828-324-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 13TH AVE NE",
            "address_2": "SUITE 2A",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013748",
            "telephone_number": "828-322-2541",
            "fax_number": "828-324-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY INTERNAL MEDICINE, HYPERTENSION & RENAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENSHEIMER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "828-322-3541"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "35141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890163Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.