SUNLIGHT MEDICAL CLINIC PLLC (NPI# 1063958890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063958890 |
Entity Type | Organization |
Organization Name | SUNLIGHT MEDICAL CLINIC PLLC |
Practice Address |
1099 Medical Center Dr Suite 100-a Wilmington NC 28401-7346 |
Practice Telephone | 9102285894 |
Practice Fax Number | 9102285897 |
Mailing Telephone | 9102285894 |
Mailing Fax Number | 9102285897 |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-01-18 |
Authorized Official Name | DR. MICHAEL CHUKWUMA ODIBO (OWNER/CEO) |
Authorized Official Telephone | 9102285894 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2015-01360 | NC | Ambulatory Health Care Facilities |
Street Address |
1099 MEDICAL CENTER DR SUITE 100-A |
City | WILMINGTON |
State | NC |
Zip Code | 28401-7346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871550061 | Patricia Bunch Hood | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2006-05-01 |
1306312277 | Brianna Wheeler | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2018-10-18 |
1871043109 | Atlantic Dermatology, Pa | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2016-10-11 |
1871951145 | Morgan Davis | Physician Assistant | 1099 Medical Center Dr, Suite 101, Wilmington, NC 28401-7346 | 2016-02-02 |
1922494095 | Dana Marie Baigrie | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2015-04-15 |
1245578921 | Dermone of North Carolina Pa | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2013-01-30 |
1992020549 | Rebecca Erin Stigall | Dermatology | 1099 Medical Center Dr, Wilmington, NC 28401-7346 | 2010-04-06 |
1265755524 | Joann Kate Jackson | Physician Assistant | 1099 Medical Center Dr, Suite 201, Wilmington, NC 28401-7346 | 2010-03-01 |
1417150236 | Coastal Urology Pllc | Urology | 1099 Medical Center Dr, Ste 101, Wilmington, NC 28401-7367 | 2007-06-08 |
1003848540 | Victor E Abraham | Urology | 1099 Medical Center Dr, Ste 101, Wilmington, NC 28401-7353 | 2006-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1669907929 | Hanover Pediatrics | Clinic/Center | 5032 Crown Point Ln, Wilmington, NC 28409-3298 | 2017-04-25 |
1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
1710334503 | Odibo Medical Group Pllc | Clinic/Center | 508 John S Mosby Dr, Wilmington, NC 28412-7121 | 2016-05-21 |
1366852519 | Bw Family Medical Center | Clinic/Center | 404 Clayton Ave, Wilmington, DE 19809-1413 | 2014-04-28 |
1568808376 | Healthworks Med Group of Delaware P A | Clinic/Center | 802 Delaware Ave, Wilmington, DE 19801-1377 | 2013-05-20 |
1306109251 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 131 W Anaheim St, Wilmington, CA 90744-4416 | 2012-06-15 |
1750541322 | Sea Breeze Health Center Inc | Clinic/Center | 123 E F St Unit F, Wilmington, CA 90744-5817 | 2008-06-16 |
1457437832 | Singson Medical Group Pa | Clinic/Center | 1021 Gilpin Avenue, Suite 104, Wilmington, DE 19806 | 2006-10-28 |
1932194586 | Wilmington Community Clinic | Clinic/Center | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2005-09-20 |
1285191494 | Precision Care & Wellness, LLC | Clinic/Center | 4001 Miller Rd Ste 1, Wilmington, DE 19802-1961 | 2019-02-24 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
Please comment or provide details below to improve the information on SUNLIGHT MEDICAL CLINIC PLLC.
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.