Organization Active NPI

Munther S Tabet MD PA

  • Neurology Physician
  • Henderson, NC
National Provider Identifier
1912951252
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9801523 Issued in NC
Legal business name
MUNTHER S TABET MD PA
Practice address
120 Charles Rollins Road
Suite 101
Henderson, NC 27536
Phone
(252) 436-0092
Fax
(252) 436-0096
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Munther S Tabet, M.D.NPI 1396708434
Title
President
Phone
(252) 436-0092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 9801523 NC Primary

Addresses

Primary practice location

120 Charles Rollins Road
Suite 101
Henderson, NC 27536

Mailing address

120 Charles Rollins Rd Ste.101
Henderson, NC 27536
Phone (252) 436-0092

Other identifiers 1

IdentifierTypeStateIssuer
89015GWMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100225000468 NC Part B Supplier - Clinic/Group Practice 8729069828 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NC

National Provider Directory

National Provider Directory

Locations

120 Charles Rollins Rd
Ste 101
Henderson, NC 27536
Phone (252) 431-1336

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10577/brand/1/csg/1/fhir/r4
  • Direct secure messaging: admin@tabetneuro.e-mdsdirect.com
  • Direct secure messaging: munther-tabet@tabetneuro.e-mdsdirect.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1912951252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS RD STE.101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-436-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLES ROLLINS ROAD",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27536",
            "telephone_number": "252-436-0092",
            "fax_number": "252-436-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNTHER S TABET MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "TABET",
        "authorized_official_first_name": "MUNTHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-436-0092",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "9801523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015GW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.