1821033911 NPI number — DR. CLAUDE H SPRINGFIELD IV M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821033911 NPI number — DR. CLAUDE H SPRINGFIELD IV M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SPRINGFIELD

Provider First Name:

CLAUDE

Provider Middle Name:

H

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

IV

Provider Credential Text:

M.D.

Provider Gender Code:

M

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:

1821033911

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/10/2021

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2000 PERIMETER PARK DR STE 200

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:

27560-8442

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

1480 KELLY RD

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

APEX

Provider Business Practice Location Address State Name:

NC

Provider Business Practice Location Address Postal Code:

27502-9004

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

919-363-9363

Provider Business Practice Location Address Fax Number:

919-363-9961

Provider Enumeration Date:

06/20/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  200100609 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: D1161 . This is a "MEDCOST" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 2118531 . This is a "MAMSI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 7922274 . This is a "AETNA PPO" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 891282C , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
• Identifier: P00402764 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 199800 . This is a "WELLPATH" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 3883475 . This is a "CIGNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 1282C . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 2099489 . This is a "UHC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 2670172 . This is a "AETNA HMO" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".