PORTERS NECK IMAGING, LLC (NPI# 1528203692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528203692 |
| Entity Type | Organization |
| Organization Name | PORTERS NECK IMAGING, LLC |
| Practice Address |
1025 Medical Center Dr Wilmington NC 28401-7354 |
| Practice Telephone | 9103411881 |
| Practice Fax Number | 9103436021 |
| Mailing Telephone | 9103411881 |
| Mailing Fax Number | 9103436021 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |
| Authorized Official Name | LEWIS P WARREN JR. (PRESIDENT) |
| Authorized Official Telephone | 9103411881 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Street Address |
1025 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872282 | John Alexander Black | Radiology | 1025 Medical Center Dr, Delaney Radiologists Group, Pllc, Wilmington, NC 28401 | 2005-06-28 |
| 1629638457 | John Hammond Geis Iv | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2019-06-14 |
| 1447719844 | Joshua Daniel Felix | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2019-03-15 |
| 1861980633 | Cameron K Holman | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2018-04-27 |
| 1457859431 | Alyse Jenna Moses-lebron | Physician Assistant | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2018-01-25 |
| 1285048769 | Amber Michele Mittendorf | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2014-06-12 |
| 1326486374 | Raymond Groller | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2013-06-12 |
| 1255606364 | Tiffany Matoska Sills | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401 | 2012-03-22 |
| 1013200203 | Aaron D Kline | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2011-05-19 |
| 1659661841 | Menaka M Nadar | Radiology | 1025 Medical Center Dr, Wilmington, NC 28401-7354 | 2011-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295240489 | Forsyth Imaging Center, Pllc | Clinic/Center | 3001 Maplewood Ave Ste 302, Winston Salem, NC 27103-4031 | 2017-12-10 |
| 1912208794 | Mri Services of North Carolina Inc. | Clinic/Center | 3201 Cranberry Ridge Dr Sw, Wilson, NC 27893-9708 | 2010-11-09 |
| 1740425008 | Wilmed Imaging Services LLC | Clinic/Center | 1711 Medical Park Dr W, Suite B, Wilson, NC 27893-2788 | 2008-12-15 |
| 1902943012 | Skyland Mri LLC | Clinic/Center | 1998 Henderson Highway, Asheville, NC 28803 | 2007-01-30 |
| 1528567088 | West Stanly Imaging LLC | Clinic/Center | 103 Stanly Pkwy Ste E, Locust, NC 28097-7711 | 2018-02-09 |
| 1215329198 | Mri of Asheboro, LLC | Clinic/Center | 237 N Fayetteville St, Suite B, Asheboro, NC 27203-5572 | 2015-03-02 |
| 1528405412 | The Moses H. Cone Memorial Hospital Operating Corporation | Clinic/Center | 1635 Nc Highway 66 S, Suite 110, Kernersville, NC 27284-3854 | 2013-05-31 |
| 1871856476 | Emergeortho, Pa | Clinic/Center | 120 William Penn Plz, Durham, NC 27704-2150 | 2012-06-19 |
| 1033419569 | Cary Orthopaedic & Sports Medicine Specialists, Pa | Clinic/Center | 1110 Se Cary Pkwy, Ste 103, Cary, NC 27518-7420 | 2010-11-01 |
| 1063642882 | Nash Imaging LLC | Clinic/Center | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2009-07-15 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on PORTERS NECK IMAGING, LLC.
| 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.