PINEHURST MEDICAL CLINIC INC (NPI# 1255388369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255388369 |
| Entity Type | Organization |
| Organization Name | PINEHURST MEDICAL CLINIC INC |
| Practice Address |
205 Page Rd Pinehurst NC 28374-8798 |
| Practice Telephone | 9102955511 |
| Practice Fax Number | 9102353443 |
| Mailing Telephone | 9102955511 |
| Mailing Fax Number | 9102353443 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | MR. BRANDON ENFINGER (CEO) |
| Authorized Official Telephone | 9102353004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
39578 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 39578 | NC | Allopathic & Osteopathic Physicians |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
39578 | NC | Ambulatory Health Care Facilities |
| Y | 207R00000X | Internal Medicine | 39578 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS NC GROUP # | 02418 | 01 |
| SC | SC MEDICAID GROUP# | NPA775 | 01 |
| NC | PALMETTO GBA GROUP# | CC6114 | 01 |
| NC | DME-PALMETTO GROUP# | 0395360001 | 01 |
| NC | 8902418 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295993327 | Pinehurst Medical Clinic Inc | Clinic/Center | 705b Lauchwood Drive, Laurinburg, NC 28352-5544 | 2008-05-27 |
| 1760784359 | Pinehurst Medical Clinic Inc | Pharmacy | 15 Regional Dr, 2nd Floor Lobby, Pinehurst, NC 28374-8850 | 2010-12-02 |
| 1356421853 | Pinehurst Medical Clinic Inc | Clinic/Center | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2006-10-17 |
| 1962509372 | Pinehurst Medical Clinic Inc | Clinical Medical Laboratory | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-09-20 |
| Street Address |
205 PAGE RD |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745525 | David John Kersbergen | Family Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2005-10-28 |
| 1770192700 | Jennifer Taylor Reid | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8798 | 2020-07-27 |
| 1477188019 | Laura Jo Love | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2020-03-04 |
| 1265902852 | Chelsea Marie Fairley | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374 | 2018-11-27 |
| 1417433145 | Carolina Nick | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374-8749 | 2018-07-16 |
| 1295262103 | Mcpc-18, LLC | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-05-23 |
| 1447782776 | Gail C. Lowery | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-03-27 |
| 1275072753 | Skyler W Rogers | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374 | 2017-02-17 |
| 1902356579 | Sara K Erdwins | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374-8749 | 2016-10-07 |
| 1235688284 | Savannah M Fodero | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2016-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922315738 | Leslie Murphy-md, P.C. | Internal Medicine | 80 Aviemore Court, Suite B, Pinehurst, NC 28374-9732 | 2010-09-01 |
| 1225073497 | Leslie C Murphy | Internal Medicine | 80 Aviemore Ct, Suite B, Pinehurst, NC 28374-9732 | 2006-06-19 |
| 1730168949 | Christine Monique Lucarelli | Internal Medicine | 305 Page Rd N Ste 1, Pinehurst, NC 28374-0086 | 2006-01-16 |
| 1457355406 | Steven P Michael | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2005-06-08 |
| 1023535648 | Mcpc-8, LLC | Internal Medicine | 150 Ivey Lane, Pinehurst, NC 28374 | 2017-08-24 |
| 1518312073 | Mcpc-17, LLC | Internal Medicine | 293 Olmsted Blvd, Suite 1, Pinehurst, NC 28374-9181 | 2016-05-03 |
| 1528449956 | Daniel Dunlap | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374 | 2015-06-11 |
| 1982016317 | Nimit Patidar | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2014-05-20 |
| 1275965410 | Mcpc-14, LLC | Internal Medicine | 305 Page Rd N Ste 1, Pinehurst, NC 28374-0086 | 2013-07-30 |
| 1801131974 | Ronald Walters, Md | Internal Medicine | 293 Olmsted Blvd, Suite 1, Pinehurst, NC 28374-9181 | 2012-11-30 |
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| 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.