Active NPI
Benjamin O. Akiwumi, MD
Doing business as St. Luke's Medical Center
- Internal Medicine Physician
- Burgaw, NC
National Provider Identifier
1952695397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9900005
- Legal business name
- BENJAMIN O. AKIWUMI, MD
- Doing business as
- St. Luke's Medical Center
- Practice address
- 105 W Courthouse Ave
Burgaw, NC 28425-0000 - Phone
- (910) 300-9220
- Fax
- (910) 300-9270
- NPI assigned
- Jun 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Olufemi Akiwumi, M.D.
- Title
- Medical Director
- Phone
- (910) 300-9220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9900005 | NC | Primary |
Addresses
Primary practice location
105 W Courthouse Ave
Burgaw, NC 28425-0000
Mailing address
PO Box 1579
Burgaw, NC 28425-1579
Phone (910) 300-9220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5917616 | Medicaid | NC | |
| 9900005 | Other | NC | LICENSE |
Other names 1
- St. Luke's Medical Center
National Provider Directory
National Provider DirectoryLocations
105 W Courthouse Ave
Burgaw, NC 28425
Phone (910) 300-9220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1952695397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1579",
"city": "BURGAW",
"state": "NC",
"postal_code": "284251579",
"telephone_number": "910-300-9220",
"fax_number": "910-300-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W COURTHOUSE AVE",
"city": "BURGAW",
"state": "NC",
"postal_code": "284250000",
"telephone_number": "910-300-9220",
"fax_number": "910-300-9270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN O. AKIWUMI, MD",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-02",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "AKIWUMI",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "OLUFEMI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "910-300-9220",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "9900005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5917616",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "9900005",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Luke's Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Burgaw, NC
- Ashley Clair Batts, WHNP-BC
- Macy Leigh Baynor, LCSWA
- Autumn Beech, LCSWA
- Sylvia Gail Bellamy-Simpson, MA, LCAS-A
- Benchmark Physical Therapy of NC, LLC
- Ann Marie Bishop, P.T.
- Black River Health Services Inc (Black River Family Practice)
- Black River Health Services Inc (Black River Family Practice)
- Black River Health Services, Inc.
- Black River Health Services, Inc. (Black River Family Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.