Robeson Medical Clinic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9701618 Issued in NC

Legal business name

ROBESON MEDICAL CLINIC PC

Practice address

4320 Fayetteville Rd
Suite a
Lumberton, NC 28358-2706

Phone

(910) 738-2330

Fax

(910) 738-1403

NPI assigned

Sep 25, 2006

Last updated

Sep 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandhya Anne Thomasmontilus, M.D.NPI 1720047194

Title

Ceo

Phone

(910) 738-2330

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandhya Thomas-Montilus, MD

  • Internal Medicine Physician
  • Lumberton, NC
  • NPI 1720047194
  Authorized official Same address or phone
• Emily Kendall, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1396923322
  NPD (past)
• Mac Adolf Montilus, MD

  • Internal Medicine Physician
  • Lumberton, NC
  • NPI 1922044791
  NPD (past)
• Kakeasha Shanika Richardson, PA-C

  • Physician Assistant
  • Oxford, NC
  • NPI 1073791943
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1972603132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 FAYETTEVILLE RD",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582706",
            "telephone_number": "910-738-2330",
            "fax_number": "910-738-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FAYETTEVILLE RD",
            "address_2": "SUITE A",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582706",
            "telephone_number": "910-738-2330",
            "fax_number": "910-738-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBESON MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "THOMASMONTILUS",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-738-2330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9701618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0226C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "0226C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robeson Health Care Corporation
• Robeson Health Care Corporation (Recovery Home)
• Robeson Health Care Corporation (Lumberton Health Center Casp)
• Robeson Health Care Corporation (Lumberton Family Dental)
• Robeson Hospitalist Group PLLC
• Robeson Pediatrics, P.a.
• Gail M Robinson, M.D.
• Garry L Robinson, LMBT
• Gary James Robinson, M.D.
• Karen Y Robinson, MD

• Internal Medicine Physician in Lumberton, NC
• Providers in Lumberton, 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 Sep 14, 2011; 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.