NPIMap

Organization Active NPI

Caldwell Memorial Hospital

Doing business as Alvin Daughtridge Arthritis Center

  • Rheumatology Physician
  • Lenoir, NC
National Provider Identifier
1982636007
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
CALDWELL MEMORIAL HOSPITAL
Doing business as
Alvin Daughtridge Arthritis Center
Practice address
322 Mulberry St SW
Lenoir, NC 28645-5702
Phone
(828) 757-6400
Fax
(828) 757-6424
NPI assigned
Jul 7, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CALDWELL MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Donald F Gardner Jr.
Title
VP/ Cfo/Cco
Phone
(828) 757-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

322 Mulberry St SW
Lenoir, NC 28645-5702

Mailing address

PO Box 710
Lenoir, NC 28645-0710
Phone (828) 757-5070

Other identifiers 2

IdentifierTypeStateIssuer
013CFOtherNCBCBS
89013CFMedicaidNC

Other names 1

  • Alvin Daughtridge Arthritis Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caldwell Memorial Hosp Inc26 organizations share this tax ID, including this one
Part of
Caldwell Memorial Hosp Inc

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1982636007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286450710",
            "telephone_number": "828-757-5070",
            "fax_number": "828-757-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455702",
            "telephone_number": "828-757-6400",
            "fax_number": "828-757-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALDWELL MEMORIAL HOSPITAL",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VP/ CFO/CCO",
        "authorized_official_telephone_number": "828-757-5221",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "013CF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013CF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alvin Daughtridge Arthritis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.