Provider Demographics
NPI:1114992526
Name:NINER, JOSEPH A (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:NINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6768
Mailing Address - Country:US
Mailing Address - Phone:336-243-2431
Mailing Address - Fax:336-243-2359
Practice Address - Street 1:7 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6768
Practice Address - Country:US
Practice Address - Phone:336-243-2431
Practice Address - Fax:336-243-2359
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18906207V00000X
NC9601420207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133438OtherWELLPATH NUMBER
NC2144195OtherAETNA - HMO NUMBER
NC0134WOtherBCBS NUMBER
NC4376208OtherAETNA - NON HMO
NC9459688001OtherCIGNA HEALTHCARE NUMBER
NC160049448OtherRAILROAD MEDICARE NUMBER
NC19895OtherPARTNERS MEDICARE CHOICE
SCSCB1473365OtherMEDICARE PIN
NY0703524OtherUNITED HEALTHCARE NUMBER
NC891034WMedicaid
SC189067Medicaid
NC291921OtherMAMSI
NC73626OtherMEDCOST NUMBER
NC291921OtherMAMSI
NC73626OtherMEDCOST NUMBER
SC189067Medicaid