SP Internal Medicine P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200301403 Issued in NC

Legal business name

SP INTERNAL MEDICINE P.C.

Practice address

1417 W Pettigrew St
Durham, NC 27705-4820

Phone

(919) 428-2904

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Noel Currin

Title

Biller

Phone

(919) 870-5939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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

• Suman Prasad

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1760460349
  Medicare reassignment NPD

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1962703769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 ERWIN RD STE 148-366",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054596",
            "telephone_number": "919-428-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W PETTIGREW ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054820",
            "telephone_number": "919-428-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "CURRIN",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "919-870-5939"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200301403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Southworth, PHARMD
• Jessica Aron Souza
• Juliana Gaerte Souza, FNP-C
• Benjamin Soydan, P.T.
• Sozo Life and Wellness Center, PLLC
• Felicia Spadini, APRN
• Joshua Paul Spaete
• Tede Spahn
• Emily Nicole Spain
• Ronald David Spain Sr., D.D.S.

• Internal Medicine Physician in Durham, NC
• Providers in Durham, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.