Organization Active NPI

Hormoze Goudarzi, MD, PA

  • Surgery Physician
  • Wilmington, NC
National Provider Identifier
1992903827
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26073 Issued in NC
Legal business name
HORMOZE GOUDARZI, MD, PA
Practice address
1721 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone
(910) 763-6571
Fax
(910) 763-6570
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Mrs. Beverly Kinderman
Title
Office Manager
Phone
(910) 763-6571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 26073 NC Primary

Addresses

Primary practice location

1721 New Hanover Medical Park Dr
Wilmington, NC 28403-5345

Mailing address

1721 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-6571

National Provider Directory

National Provider Directory

Locations

1721 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 726-9976

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.123401

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1992903827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035345",
            "telephone_number": "910-763-6571",
            "fax_number": "910-763-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035345",
            "telephone_number": "910-763-6571",
            "fax_number": "910-763-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORMOZE GOUDARZI, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "KINDERMAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-763-6571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "26073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.