1548216880 NPI number — NEW HANOVER REGIONAL MEDICAL CENTER

Table of content: MR. MARTY LEE SCHMIDT MD (NPI 1639130248)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548216880 NPI number — NEW HANOVER REGIONAL MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW HANOVER REGIONAL MEDICAL CENTER
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:
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:
1548216880
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9000
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28402-9000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2131 S 17TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28401-7407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-343-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OLLIE
Authorized Official First Name:
EDWIN
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
910-343-4699

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  H0221 , 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: 00393 . This is a "BCBS ALL EXCEPT REHAB" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 5028888 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 128171 . This is a "MEDICAID INPATIENT" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 153836 . This is a "MEDICAID OUTPATIENT" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
  • Identifier: 3400141 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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