Masonboro Family Medicine, P.C. in Wilmington - Preferred Provider Organization
Masonboro Family Medicine, P.C. - NPI 1417018565
Masonboro Family Medicine, P.C. is a Preferred Provider Organization in Wilmington, North Carolina. Masonboro Family Medicine, P.C. practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Masonboro Family Medicine, P.C. is 1417018565. The last update date is 2011-01-03.
Masonboro Family Medicine, P.C.'s current location address is 6419 Carolina Beach Road, Wilmington, North Carolina. You can contact this provider via phone number 9107903660. The mailing address for Masonboro Family Medicine, P.C. is 6419 Carolina Beach Road, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Masonboro Family Medicine, P.C. |
|---|---|
| Address | 6419 Carolina Beach Road, Wilmington, North Carolina |
| Phone Number | 9107903660 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING OF |
|---|---|
| Authorized Official Name | Carter Erin |
| Telephone Number | 9107903660 |
NPI Number Detail
| NPI Number | 1417018565 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2011-01-03 |
Provider Mailing Address Detail
| Address | 6419 Carolina Beach Road |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284122788 |
| Phone Number | 9107903660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 051C3 | NC | BCBS | |
| 18265 | NC | BCBS | |
| 015C3 | NC | -- | |
| 10892 | NC | BCBS NC | |
| 61634 | NC | BCBS | |
| 87545 | NC | BCBS | |
| 8910892 | NC | -- | |
| 8961634 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Masonboro Family Medicine, P.C. by the Centers for Medicare & Medicaid Services?
The Masonboro Family Medicine, P.C. has been issued the NPI (National Provider Identifier) 1417018565 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Masonboro Family Medicine, P.C. is physically located?
The Masonboro Family Medicine, P.C. is physically situated at the following address: 6419 Carolina Beach Road, Wilmington, NC, 284122788.
What is the area of specialization for Masonboro Family Medicine, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Masonboro Family Medicine, P.C. is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of expertise is 305R00000X.
On what date did Masonboro Family Medicine, P.C. receive its 1417018565 assignment from the Centers for Medicare & Medicaid Services?
The Masonboro Family Medicine, P.C. was assigned its 1417018565 on 2006-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Masonboro Family Medicine, P.C. most recently updated or refreshed?
The details pertaining to the Masonboro Family Medicine, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-03.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC