Active NPI
Andrew Edward Stock, M.D.
- General Practice Physician
- Oxford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 200601213
- Practice address
- 103 Professional Park Ste a
Oxford, NC 27565-2581 - Phone
- (919) 693-7108
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200601213 | NC | |
| Family Medicine Physician | 207Q00000X | 48660020 | WI | |
| General Practice Physician | 208D00000X | 200601213 | NC | Primary |
Addresses
Primary practice location
103 Professional Park Ste a
Oxford, NC 27565-2581
Mailing address
103 Professional Park Ste a
Oxford, NC 27565-2581
Phone (919) 693-7108
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908104 | Medicaid | NC | |
| 145AH | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48660020 | WI | MD | Family Medicine Physician |
| 200601213 | NC | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Aes Medical PC | Current | Accepting new patients | |
| Dorrance Chiropractic Center Inc | Current | Accepting new patients | |
| Crossroads Family Chiropractic | Past | Accepting new patients | |
| D Michael Mahan MD PA | Family Medicine | Past | Accepting new patients |
Locations
820 S Garnett St
Henderson, NC 27536
Phone (252) 431-1700
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420
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 and National Provider Directory roles.
-
dba Advance Joint Regeneration
- Physical Medicine & Rehabilitation Physician
- Henderson, NC
- NPI 1306556220
-
- Chiropractor
- Henderson, NC
- NPI 1972676013
-
- Chiropractor
- Benson, NC
- NPI 1326155078
-
- Family Medicine Physician
- Henderson, NC
- NPI 1427056027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1952404170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 PROFESSIONAL PARK STE A",
"city": "OXFORD",
"state": "NC",
"postal_code": "275652581",
"telephone_number": "919-693-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 PROFESSIONAL PARK STE A",
"city": "OXFORD",
"state": "NC",
"postal_code": "275652581",
"telephone_number": "919-693-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "ANDREW",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200601213",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "48660020",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NC",
"license": "200601213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908104",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "145AH",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.