FAMILY MEDICAL CARE OF ROWAN PA (NPI# 1528045390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528045390 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CARE OF ROWAN PA |
| Other Organization Name | NICKERSON FAMILY MEDICAL CARE |
| Practice Address |
300 N Salisbury Ave Spencer NC 28159-2514 |
| Practice Telephone | 7046337070 |
| Practice Fax Number | 7046337627 |
| Mailing Telephone | 7046337070 |
| Mailing Fax Number | 7046337627 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | LLOYD EMERY NICKERSON (OWNER MEDICAL DOCTOR) |
| Authorized Official Telephone | 7046337070 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS PERSONAL ID | 62644 | 01 | |
| BCBS GROUP ID | 0138R | 01 | |
| BLACK LUNG | 202595 | 01 | |
| NC | 890138R | 05 | |
| MEDICARE RAILROAD | 970029646 | 01 | |
| NC | 8962644 | 05 | |
| MEDICARE RAILROAD | 500013139 | 01 | |
| NC | MEDICAID | 89014CE | 01 |
| NC | RAILROAD MEDICARE | CL2573 | 01 |
| Other Name | Type Code |
|---|---|
| Nickerson Family Medical Care | Doing Business As Name - Organization |
| Street Address |
300 N SALISBURY AVE |
| City | SPENCER |
| State | NC |
| Zip Code | 28159-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205204476 | Cabarrus Rowan Community Health Centers, Inc. | Clinic/Center | 300 N Salisbury Ave, Spencer, NC 28159-2514 | 2015-09-04 |
| 1730319682 | Carolinas Physicians Network Inc | Durable Medical Equipment & Medical Supplies | 300 N Salisbury Ave, Spencer, NC 28159-2514 | 2009-07-24 |
| 1700043288 | Alexander M Waite | Family Medicine | 300 N Salisbury Ave, Spencer, NC 28159-2514 | 2008-05-21 |
| 1205910692 | Gail Key Kimball | Nurse Practitioner | 300 N Salisbury Ave, Spencer, NC 28159-2514 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852495 | Lakisha S Hayes | Registered Nurse | 316 Grant St, Spencer, NC 28159-1636 | 2019-03-27 |
| 1821216797 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 318 Grant St, Spencer, NC 28159-1676 | 2007-04-23 |
| 1952616583 | Easter Seals Ucp of North Carolina & Virginia, Inc. | Custodial Care Facility | 318 Grant St, Spencer, NC 28159-1676 | 2010-08-06 |
| 1508993866 | Bethamy Enterprises Inc. | Exclusive Provider Organization | 909 N Salisbury Ave, Spencer, NC 28159-1828 | 2007-02-27 |
| 1578062626 | Total Renal Care of North Carolina LLC | Clinic/Center | 1287 N Salisbury Ave, Spencer, NC 28159-1834 | 2018-02-05 |
| 1265858237 | Tara White | Early Intervention Provider Agency | 417 17th St, Spencer, NC 28159-1913 | 2014-03-13 |
| 1962479840 | Trc of Salisbury, Inc. | Custodial Care Facility | 1404 S Salisbury Ave, Spencer, NC 28159-1921 | 2006-03-01 |
| 1407325103 | Compass Healthcare and Rehab Rowan, LLC | Skilled Nursing Facility | 1404 S Salisbury Ave, Spencer, NC 28159-1921 | 2018-11-26 |
| 1396213500 | Compass Healthcare and Rehab Rowan, LLC | Assisted Living Facility | 1404 S Salisbury Ave, Spencer, NC 28159-1921 | 2018-11-06 |
| 1669958807 | Ryan Chandler Upright | Occupational Therapy Assistant | 1404 S Salisbury Ave, Spencer, NC 28159-1921 | 2018-07-11 |
| Find all providers in zip 28159 | ||||
| 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 |
|---|---|---|---|---|
| 1366830390 | Rowan Diagnostic Clinic | Family Medicine | 446 S Salisbury Ave, Suite D, Spencer, NC 28159-2239 | 2014-12-29 |
| 1184754111 | Cumberland Family Care P.C. | Family Medicine | 817 College St, Spencer, TN 38585-3436 | 2007-03-07 |
| 1467520270 | Niobrara Valley Hospital Corporation | Family Medicine | 108 West Evans St, Spencer, NE 68777-0269 | 2006-12-01 |
| 1912007964 | Ronald Lane Maclin | Family Medicine | 136 Main Street, Spencer, MA 01562 | 2006-09-22 |
| 1508826462 | Precilla T Famularcano | Family Medicine | 141 Main Street, Spencer, WV 25276 | 2006-03-24 |
| 1033196837 | Family Medical Care of Rowan-spencer | Family Medicine | 117 5th St, Spencer, NC 28159-2125 | 2005-12-22 |
| 1609315829 | Indiana Health Centers, Inc | Family Medicine | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2017-02-21 |
| 1649650649 | Patrick James Kennedye | Family Medicine | 2601 Spencer Rd, Spencer, OK 73084 | 2015-06-04 |
| 1780062273 | Spencer Municipal Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| 1750768339 | William Bensen | Family Medicine | 116 E 11th St Ste 101, Spencer, IA 51301-4365 | 2015-05-02 |
| Find all providers in SPENCER | ||||
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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.