DR. HARRY A KISSI (NPI# 1518126267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518126267 |
| Entity Type | Individual |
| Full Name | DR. HARRY A KISSI |
| Credential | M.D. |
| Practice Address |
210 Medical Pavilion Dr Raeford NC 28376-9111 |
| Mailing Address |
1638 Owen Dr Attn: Managed Care Planning Fayetteville NC 28304-3424 |
| Practice Telephone | 9109048000 |
| Practice Fax Number | 9109048445 |
| Mailing Telephone | 9106156949 |
| Mailing Fax Number | 9109048445 |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2015-00397 | NC | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2015-00397 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1518126267 | 05 | |
| NY | 03255176 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 N Elm St, High Point, NC 272624331 | 3367162255 |
| Street Address |
210 MEDICAL PAVILION DR |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659358372 | Richard David Young | Physician Assistant | 210 Medical Pavilion Dr, Raeford, NC 28376 | 2005-12-22 |
| 1760006480 | Hoke Healthcare LLC | Medicare Defined Swing Bed Unit | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2020-05-29 |
| 1003337528 | Hoke Emergency Group, PC | Physician Assistant | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2017-07-06 |
| 1447609391 | Curt Andrew Litton | Physician Assistant | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2016-06-10 |
| 1205221926 | Justin Alan Bacon | Emergency Medicine | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2015-03-31 |
| 1770976789 | Cumberland County Hospital System Inc | Anesthesiology | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2015-03-16 |
| 1023406261 | Cumberland County Hospital System Inc | Hospitalist | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2014-12-22 |
| 1790183184 | Cfvhs Ed Physicians | Emergency Medicine | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2014-12-17 |
| 1750788238 | Hoke Healthcare LLC | General Acute Care Hospital | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2014-11-26 |
| 1659703544 | Kyle Mitchell Le | Physician Assistant | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2013-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| 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 |
|---|---|---|---|---|
| 1437627346 | Vaxcare North Carolina, LLC | Family Medicine | 929 W Prospect Rd, Raeford, NC 28376-9543 | 2018-11-08 |
| 1003104092 | Tabitha M Bedini | Family Medicine | 6408 Fayetteville Rd, Moore Regional Hospital - Hoke Campus, Raeford, NC 28376-7977 | 2011-07-12 |
| 1609066158 | Karen L.smith Md, Pa | Family Medicine | 929 West Prospect Avenue, Raeford, NC 28376-6197 | 2007-07-31 |
| 1629101746 | Rockfish Medical Clinic, Pllc | Family Medicine | 116 Campus Avenue, Raeford, NC 28376 | 2007-03-14 |
| 1336207158 | Kyu Lee | Family Medicine | 855 Old Hwy 211, Mccin Hospital, Raeford, NC 28376 | 2006-12-05 |
| 1174629414 | Donna M Ajo | Family Medicine | 300 Medical Pavilion Dr Ste 150, Raeford, NC 28376-0030 | 2006-09-15 |
| 1194754275 | Cecilia Rose Nashatizadeh | Family Medicine | 169 Old Colony Pl, Raeford, NC 28376-6425 | 2006-07-01 |
| 1790775690 | Garnett Marcus Lowry | Family Medicine | 313 Teal Dr, Raeford, NC 28376-2527 | 2005-10-24 |
| 1245232123 | Warren Charles Johnson IIi | Family Medicine | 300 Medical Pavilion Dr, Suite 150, Raeford, NC 28376-0019 | 2005-08-11 |
| 1699779454 | Martina Dockery Monroe | Family Medicine | 405 S Main St, Raeford, NC 28376-3222 | 2005-06-09 |
| Find all providers in RAEFORD | ||||
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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.