1386627479 NPI number — MR. JAMES MICHAEL HOPKINS DPM

Table of content: MR. JAMES MICHAEL HOPKINS DPM (NPI 1386627479)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386627479 NPI number — MR. JAMES MICHAEL HOPKINS DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOPKINS
Provider First Name:
JAMES
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1386627479
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8305 FALLS OF NEUSE RD
Provider Second Line Business Mailing Address:
STE 100
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27615
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-846-1111
Provider Business Mailing Address Fax Number:
919-846-1099

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8305 FALLS OF NEUSE RD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-846-1111
Provider Business Practice Location Address Fax Number:
919-846-1099
Provider Enumeration Date:
11/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  347 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2119979 . This is a "MAMSI RALEIGH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 33698 . This is a "GREAT WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2582 . This is a "WELLPATH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0805R . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1250116 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 33658 . This is a "PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5119979 . This is a "MAMSI CLAYTON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4517606 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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