Active NPI
Medical Specialists' Clinic, PA
- Cardiovascular Disease Physician
- Lumberton, NC
National Provider Identifier
1992799308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25596
- Legal business name
- MEDICAL SPECIALISTS' CLINIC, PA
- Practice address
- 4384 Fayetteville Rd
Lumberton, NC 28358-2677 - Phone
- (910) 738-1141
- Fax
- (910) 738-6011
- NPI assigned
- Aug 31, 2005
- 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
- Dr. Sadanand Hedge, MD
- Title
- President
- Phone
- (910) 738-1141
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9700753 | NC | |
| Internal Medicine Physician | 207R00000X | 9601101 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 25596 | NC | Primary |
| Pulmonary Disease Physician | 207RP1001X | 26135 | NC |
Addresses
Primary practice location
4384 Fayetteville Rd
Lumberton, NC 28358-2677
Mailing address
4384 Fayetteville Rd
Lumberton, NC 28358-2677
Phone (910) 738-1141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02142 | Other | NC | BCBS |
| 8902142 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351123200000",
"number": "1992799308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4384 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582677",
"telephone_number": "910-738-1141",
"fax_number": "910-738-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4384 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582677",
"telephone_number": "910-738-1141",
"fax_number": "910-738-6011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SPECIALISTS' CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-31",
"last_updated": "2012-10-25",
"status": "A",
"authorized_official_last_name": "HEDGE",
"authorized_official_first_name": "SADANAND",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-738-1141",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "9700753",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "9601101",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "25596",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "26135",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "02142",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902142",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.