Basic Information
| Provider Information | |||||||||
| NPI: | 1023146289 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CATHEY | ||||||||
| FirstName: | REGINALD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 PERIMETER PARK DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | MORRISVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275608442 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9842154110 | ||||||||
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| Practice Location | |||||||||
| Address1: | 515 THOMPSON ST | ||||||||
| Address2: | SUITE B | ||||||||
| City: | EDEN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272885068 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3366239118 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2007 | ||||||||
| LastUpdateDate: | 05/06/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 20533 | MS | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 35200 | SC | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 2008-01232 | NC | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 07128002 | 05 | MS | MEDICAID |