PINEHURST MEDICAL CLINIC INC (NPI# 1356421853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356421853 |
| Entity Type | Organization |
| Organization Name | PINEHURST MEDICAL CLINIC INC |
| Other Organization Name | PINEHURST MEDICAL CLINIC ENDOSCOPY CENTER |
| Practice Address |
15 Regional Dr Pinehurst NC 28374-8850 |
| Mailing Address |
205 Page Rd Pinehurst NC 28374-8798 |
| Practice Telephone | 9102955511 |
| Practice Fax Number | 9102353432 |
| Mailing Telephone | 9102955511 |
| Mailing Fax Number | 9102353443 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | BRANDON ENFINGER (CEO) |
| Authorized Official Telephone | 9102353004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AS0073 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3409941 | 05 |
| Other Name | Type Code |
|---|---|
| Pinehurst Medical Clinic Endoscopy Center | Doing Business As Name - Organization |
| 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 |
| 1962509372 | Pinehurst Medical Clinic Inc | Clinical Medical Laboratory | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-09-20 |
| 1255388369 | Pinehurst Medical Clinic Inc | Family Medicine | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-05-27 |
| Street Address |
15 REGIONAL DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719013 | Stacy Leigh Murphy Marcum | Physician Assistant | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2005-09-07 |
| 1689224867 | Alexandra Mullins | Physician Assistant | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2019-09-18 |
| 1063906584 | Casey Burnette | Nurse Practitioner | 15 Regional Dr, Pinehurst, NC 28374 | 2018-06-18 |
| 1770091571 | Michael A Williamson | Nurse Practitioner | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2018-01-15 |
| 1457878886 | John Harold Chadwick | Physician Assistant | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2017-08-25 |
| 1720504558 | Lisha A Steed | Nurse Practitioner | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2017-08-14 |
| 1558882514 | Molly S Webb | Nurse Practitioner | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2017-06-29 |
| 1346794443 | Angela D Siebenaller | Dietitian, Registered | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2016-08-08 |
| 1235585605 | Meghan K Rector | Dietitian, Registered | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1700242013 | Adara R Starr | Physician Assistant | 15 Regional Dr, Pinehurst, NC 28374-8850 | 2016-01-04 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003860917 | Surgery Center of Pinehurst, LLC | Clinic/Center | 10 First Village Drive, Pinehurst, NC 28374 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
| 1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
| 1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| Find all providers with the same taxonomy | ||||
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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.