PRIMEDOC PARK RIDGE PA - NPI 1023198728 - Internal Medicine in Hendersonville, NC

Q: What is Primedoc Park Ridge PA's NPI number?

The NPI number for Primedoc Park Ridge PA is 1023198728. It was assigned to this organization in the NPPES registry on October 17, 2006.

Q: What is Primedoc Park Ridge PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Primedoc Park Ridge Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMEDOC PARK RIDGE PA (NPI 1023198728) is a healthcare organization registered as an internal medicine in Hendersonville, North Carolina and active in the NPI registry since October 2006. The organization lists Robert Reynolds, President Owner, as its authorized official.

NPPES Registry Identity

NPI1023198728

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePRIMEDOC PARK RIDGE PA

Location Address100 HOSPITAL DRHendersonville, NC 28792-5272

Mailing AddressPo Box 60262Charlotte, NC 28260-0262 · (843) 237-3378 · Fax (843) 237-5073

Phone(843) 237-3378

Fax(843) 237-5073

Organization SubpartNo

Authorized OfficialRobert ReynoldsPresident Owner · (843) 237-3378

Enumeration DateOctober 17, 2006

Last NPPES UpdateMarch 16, 2009

✔ NPI 1023198728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed · N/A

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

100 HOSPITAL DR, Hendersonville, NC 28792

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Other Identifiers 3

Other018NXNC · Blue Cross Blue Shield

Medicare PIN2329396NC

Medicaid5905717NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS RYAN COWAN CRNA

Nurse Anesthetist, Certified Registered