Organization Active NPI

Rutherford Pediatrics PA

  • Pediatrics Physician
  • Rutherfordton, NC
National Provider Identifier
1982716858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
39115 Issued in NC
Legal business name
RUTHERFORD PEDIATRICS PA
Practice address
141 Tryon Road
Suite a
Rutherfordton, NC 28139-3036
Phone
(828) 286-9049
Fax
(828) 286-5596
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffry William Archer
Title
Practice Manager
Phone
(828) 286-9149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 39115 NC Primary

Addresses

Primary practice location

141 Tryon Road
Suite a
Rutherfordton, NC 28139-3036

Mailing address

141 Tryon Road
Suite a
Rutherfordton, NC 28139-3036
Phone (828) 286-9049

National Provider Directory

National Provider Directory

Locations

141 Tryon Rd
Ste A
Rutherfordton, NC 28139
Phone (828) 286-9049

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982716858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TRYON ROAD",
            "address_2": "SUITE A",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393036",
            "telephone_number": "828-286-9049",
            "fax_number": "828-286-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TRYON ROAD",
            "address_2": "SUITE A",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393036",
            "telephone_number": "828-286-9049",
            "fax_number": "828-286-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-286-9149"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "39115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.