Organization
PINEHURST RHEUMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARA M MARTIN MD (PRESIDENT)
(910) 255-0055
Entity
Organization
Contact information
Practice address
4204 MURDOCKSVILLE ROAD, WEST END, NC 27376-8871
(910) 255-0055
(910) 255-0060
Mailing address
4204 MURDOCKSVILLE ROAD, WEST END, NC 27376-8871
(910) 255-0055
(910) 255-0060
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136Y
BCBS
NC
01
—
1013975598
GROUP NPI
NC
01
—
1710919683
SCHORN NPI
NC
01
—
1780681221
AUSTIN NPI
NC
01
—
1881691277
MARTIN NPI
NC
01
—
2225603A
MEDICARE GROUP NEW PTAN 2/26/2009
NC
01
—
2320331
MEDICARE PTAN ENDING 2/25/2009
NC
05
—
890136Y
—
NC
01
—
CD8391
MEDICARE RAILROAD
NC
05
—
NPB124
—
SC
Enumeration date
05/03/2006
Last updated
06/18/2012
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