Healthcare Provider Details

I. General information

NPI: 1558538173
Provider Name (Legal Business Name): DUKE UNIVERSITY HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUKE UNIVERSITY DUMC 3470 ENDOCRINOLOGY DEPARTMENT C/OTRACI WOMBLE
DURHAM NC
27710
US

IV. Provider business mailing address

PO BOX 110566
DURHAM NC
27709-5566
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-4289
  • Fax:
Mailing address:
  • Phone: 919-620-4855
  • Fax: 919-620-4921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number141740
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number141740
License Number StateNC

VIII. Authorized Official

Name: JOHN STUART SMITH
Title or Position: VP, FINANCE
Credential:
Phone: 919-613-8995