MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA (NPI# 1154841260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154841260 |
| Entity Type | Organization |
| Organization Name | MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA |
| Practice Address |
1328 Lake Park Blvd N Carolina Beach NC 28428-3935 |
| Practice Telephone | 9107071720 |
| Practice Fax Number | 9107071723 |
| Mailing Telephone | 9107071720 |
| Mailing Fax Number | 9107071723 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | MR. 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 |
| 1881114007 | Med First Immediate Care & Family Practice Pa | Family Medicine | 718 W Corbett Ave, Swansboro, NC 28584-8452 | 2017-06-20 |
| Street Address |
1328 LAKE PARK BLVD N |
| City | CAROLINA BEACH |
| State | NC |
| Zip Code | 28428-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740395029 | Damian Brezinski | Internal Medicine | 1328 Lake Park Blvd N, Ste 103, Carolina Beach, NC 28428-3906 | 2006-08-20 |
| 1366891905 | Loralie Grigas Msw Lcsw Lcas Pllc | Social Worker | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428-3935 | 2016-06-05 |
| 1265888119 | Seaside Counseling Services, Pllc | Counselor | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428-3935 | 2016-05-10 |
| 1477909778 | Island Cardiology, Pllc | Internal Medicine | 1328 Lake Park Blvd N, Suite 103, Carolina Beach, NC 28428-3935 | 2016-05-05 |
| 1033557665 | Carolina Beach Counseling, LLC | Psychiatry & Neurology | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428 | 2013-06-05 |
| 1558679639 | Loralie Grigas | Social Worker | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428-3935 | 2010-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235682022 | Pleasure Island Health | Nurse Practitioner | 1328 North Lake Park Blvd Ste 102, Carolina Beach, NC 28428 | 2016-07-27 |
| 1497151625 | Brianna Noelle Walter | Counselor | 1328 Lake Park Blvd N Ste 109, Carolina Beach, NC 28428 | 2014-11-17 |
| 1003061045 | John B Callahan | Counselor | 100 Eighth St N, Carolina Beach, NC 28428 | 2008-11-18 |
| 1649365099 | Amanda Dixon Cerqueira | Dentist | 1328 N. Lake Blvd, Suite 107, Carolina Beach, NC 28428 | 2006-10-03 |
| 1104929884 | North Carolina Cvs Pharmacy LLC | Pharmacy | 901 Dow Rd, Carolina Beach, NC 28428 | 2006-09-07 |
| 1184635302 | Vincent Robert Smith | Dentist | 1300 Bridge Barrier Rd, Carolina Beach, NC 28428 | 2006-08-11 |
| 1972029320 | Kaitlin Sledge Maertz | Speech-Language Pathologist | 105 Florida Ave, Carolina Beach, NC 28428 | 2017-08-17 |
| 1720253784 | Wilmington Health Pllc | Specialist | 1300 Bridge Barrier Rd, Suite 2, Carolina Beach, NC 28428 | 2008-04-29 |
| 1639776362 | Olga O Orraca | Acupuncturist | 1328 Lake Park Blvd N Ste 106b, Carolina Beach, NC 28428-3906 | 2020-10-06 |
| 1063052561 | Donald Russel Crawford Iv | Nurse Practitioner | 1328 Lake Park Blvd N Ste 102, Carolina Beach, NC 28428-3906 | 2020-01-13 |
| Find all providers in zip 28428 | ||||
| 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 |
|---|---|---|---|---|
| 1104187699 | Heather Kim Anderson | Family Medicine | 1300 Bridge Barrier Rd Ste 2, Carolina Beach, NC 28428-3939 | 2012-05-31 |
| 1245316082 | Melodye Elliott Visser | Family Medicine | 1300 Bridge Barrier Rd Ste 2, Carolina Beach, NC 28428-3939 | 2006-10-27 |
| 1730281924 | Howard Ruscetti | Family Medicine | 1300 Bridge Barrier Rd Ste 2, Carolina Beach, NC 28428-3939 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | CAROLINA BEACH |
| Zip Code | 28428 |
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.