MEDAC HEALTH SERVICES PA (NPI# 1346745098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346745098 |
Entity Type | Organization |
Organization Name | MEDAC HEALTH SERVICES PA |
Practice Address |
5245 S College Rd Wilmington NC 28412-2209 |
Mailing Address |
4402 Shipyard Blvd Wilmington NC 28403-6161 |
Practice Telephone | 9103927806 |
Practice Fax Number | 9103321072 |
Mailing Telephone | 9104521400 |
Mailing Fax Number | 9103321072 |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-03-26 |
Authorized Official Name | MICHAEL PAUL MOULTON (PRESIDENT) |
Authorized Official Telephone | 9104521400 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS | 07651 | 01 |
NC | RAILROAD MEDICARE | CC2877 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356345920 | Medac Health Services Pa | General Practice | 4402 Shipyard Blvd, Wilmington, NC 28403 | 2005-06-10 |
Street Address |
5245 S COLLEGE RD |
City | WILMINGTON |
State | NC |
Zip Code | 28412-2209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447210786 | Laurence S Wang | Family Medicine | 5245 S College Rd, Wilmington, NC 28412-2209 | 2006-03-23 |
1780996173 | Wilmington Health Pllc | Family Medicine | 5245 S College Rd, Wilmington, NC 28412-2209 | 2010-07-14 |
1730275793 | J'nelle B Ruscetti | Physician Assistant | 5245 S College Rd, Wilmington, NC 28412-2209 | 2006-10-05 |
1881616035 | Michelle J. Lilly | Physician Assistant | 5245 S College Rd, Suite 201a, Wilmington, NC 28412-2209 | 2006-07-24 |
1427081173 | Med Care of North Carolina Pllc | Family Medicine | 5245 S College Rd, Wilmington, NC 28412-2209 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
Find all providers in zip 28412 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043826910 | Total Wellness Medical Centre, LLC | General Practice | 1309 Veale Rd Ste 12, Wilmington, DE 19810-4609 | 2020-09-16 |
1477166270 | Integrative Physical Health LLC | General Practice | 3105 Limestone Rd Ste 303, Wilmington, DE 19808-2156 | 2020-08-31 |
1811544174 | Greenhill Health Consulting LLC | General Practice | 2500 W 4th St Ste 1a, Wilmington, DE 19805-3367 | 2019-08-21 |
1962975540 | Home Call Health Services, Inc. | General Practice | 7612 Mallow Rd, Wilmington, NC 28411-7315 | 2019-01-07 |
1437629458 | Integrated Wound Care Massachusetts Pllc | General Practice | 750 Woburn St, Wilmington, MA 01887-3480 | 2018-12-03 |
1841678869 | Medeval, Corp. | General Practice | 9 Germay Dr, Wilmington, DE 19804-1155 | 2015-05-11 |
1376962936 | Jorge Jara Kudin | General Practice | 701 N Clayton St Ste 400, Wilmington, DE 19805-3165 | 2014-04-10 |
1093159220 | Healthworks Med Group of Delaware P A | General Practice | 1800 Concord Pike Foc Sw1, Wilmington, DE 19897-0001 | 2013-04-18 |
1194053694 | Allan Wolfe Levy | General Practice | 122 Carriage Way, Wilmington, DE 19803-3355 | 2009-11-23 |
1689813404 | Consolab Inc | General Practice | 1000 N West St, Wilmington, DE 19801-1050 | 2009-02-18 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28412 |
Please comment or provide details below to improve the information on MEDAC HEALTH SERVICES 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.