MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA (NPI# 1053841619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053841619 |
| Entity Type | Organization |
| Organization Name | MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA |
| Practice Address |
348 N South St Mount Airy NC 27030-3532 |
| Practice Telephone | 3366730196 |
| Practice Fax Number | 3366730305 |
| Mailing Telephone | 3366730196 |
| Mailing Fax Number | 3366730305 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | PAUL FENECK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9102384228 |
| Is Organization Subpart | Y |
| Parent Organization Name | MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518564 | Med First Immediate Care & Family Practice Pa | Family Medicine | 5130 Southport Supply Rd Se Ste 101, Southport, NC 28461-9262 | 2017-06-23 |
| 1346760352 | Med First Immediate Care & Family Practice Pa | Family Medicine | 2002 S Glenburnie Rd Ste 100, New Bern, NC 28562-5229 | 2017-06-21 |
| 1609306166 | Med First Immediate Care & Family Practice Pa | Family Medicine | 200 Cape Fear Cir Ste 1, Sneads Ferry, NC 28460-9192 | 2017-06-18 |
| 1740710391 | Med First Immediate Care & Family Practice Pa | Family Medicine | 275 Nc 24 50 Hwy, Kenansville, NC 28349-8933 | 2017-06-15 |
| 1457647885 | Med First Immediate Care & Family Practice Pa | Family Medicine | 7901 Emerald Drive, Ste 7, Emerald Isle, NC 28549-2880 | 2011-06-23 |
| 1487178588 | Med First Immediate Care & Family Practice Pa | Family Medicine | 2115 S Main St Ste A, Wake Forest, NC 27587-5011 | 2017-07-31 |
| 1386165686 | Med First Immediate Care & Family Practice Pa | Family Medicine | 609 Richlands Hwy Ste 6, Jacksonville, NC 28540-3606 | 2017-06-28 |
| 1043730617 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1899 N Marine Blvd, Jacksonville, NC 28546-6555 | 2017-06-23 |
| 1255851358 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1728 Fordham Blvd, Chapel Hill, NC 27514-2397 | 2017-06-21 |
| 1154841260 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1328 Lake Park Blvd N, Carolina Beach, NC 28428-3935 | 2017-06-21 |
| Street Address |
348 N SOUTH ST |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619195302 | Michelle Deanna Wall | Physician Assistant | 348 N South St, Mount Airy, NC 27030-3532 | 2007-04-20 |
| 1922518745 | Med First Immediate Care & Family Practice, Pa | Clinic/Center | 348 N South St, Mount Airy, NC 27030-3532 | 2017-10-06 |
| 1639585102 | Kristi Massey | Nurse Practitioner | 348 N South St, Mount Airy, NC 27030-3532 | 2014-07-06 |
| 1871768507 | Majure Skin Care & Wellness Center, Pa | Family Medicine | 348 N South St, Mount Airy, NC 27030-3532 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083273056 | Gaps Health Nc | Family Medicine | 130 Chandler Hills Dr Ste 105, Mount Airy, NC 27030-8805 | 2019-06-12 |
| 1831392174 | Challie A Minton | Family Medicine | 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030-9978 | 2007-06-06 |
| 1275636623 | Daniel Joseph Bernstein | Family Medicine | 1908 Caudle Dr, Ste. 100, Mount Airy, NC 27030-4321 | 2006-09-07 |
| 1750351557 | Glenn D Golaszewski | Family Medicine | 401 Technology Ln, Mount Airy, NC 27030-6692 | 2006-01-24 |
| 1457335002 | Vincent V. Miller | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2005-12-06 |
| 1477546620 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 910 Worth St, Foothills Primary Care, Mount Airy, NC 27030-4458 | 2005-08-23 |
| 1922009190 | Jose R Lopez | Family Medicine | 910 Worth Street, Foothills Primary Care, Mount Airy, NC 27030 | 2005-08-09 |
| 1467450296 | Lawrence Scott Gordon | Family Medicine | 301 Watersville Rd, Mount Airy, MD 21771-5513 | 2005-07-14 |
| 1962407254 | Jay Richard Seidler | Family Medicine | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2005-06-15 |
| 1801890306 | Jose C Acol | Family Medicine | 504 E Ridgeville Blvd Ste 120, Mount Airy, MD 21771-5942 | 2005-06-13 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.