1205579059 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Table of content: MR. IRA STANLEY GOLDMAN RPH (NPI 1669785291)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205579059 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205579059
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5221 PARAMOUNT PKWY STE 440
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27560-5491
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
984-974-1186
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1101 WEAVER DAIRY RD
Provider Second Line Business Practice Location Address:
SUITE 102 AND SUITE 103
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-1791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-974-6320
Provider Business Practice Location Address Fax Number:
984-974-6447
Provider Enumeration Date:
04/19/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HADAR
Authorized Official First Name:
JANET
Authorized Official Middle Name:
TERESA
Authorized Official Title or Position:
PRESIDENT, UNC HOSPITALS
Authorized Official Telephone Number:
984-974-2819

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC1900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)