Provider Demographics
NPI:1083671101
Name:NORTH HILLS INTERNAL MEDICINE, PA
Entity Type:Organization
Organization Name:NORTH HILLS INTERNAL MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MARUCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-855-8911
Mailing Address - Street 1:3320 WAKE FOREST RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7300
Mailing Address - Country:US
Mailing Address - Phone:919-855-8911
Mailing Address - Fax:919-855-9424
Practice Address - Street 1:3320 WAKE FOREST RD
Practice Address - Street 2:SUITE 310
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7300
Practice Address - Country:US
Practice Address - Phone:919-855-8911
Practice Address - Fax:919-855-9424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25365207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCL6182OtherRAILROAD MEDICARE
NC7902440Medicaid
NC02440OtherBLUE CROSS BLUE SHIELD NC
NC7902440Medicaid