SHALLOTTE MEDICAL CENTER INC (NPI# 1538138979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538138979 |
| Entity Type | Organization |
| Organization Name | SHALLOTTE MEDICAL CENTER INC |
| Other Organization Name | SEASIDE MEDICAL CENTER |
| Practice Address |
710 Sunset Blvd N Sunset Beach NC 28468-4340 |
| Mailing Address |
Po Box 7237 Seaside Medical Center So Brunswick NC 28470 |
| Practice Telephone | 9105753923 |
| Practice Fax Number | 9105753926 |
| Mailing Telephone | 9105753923 |
| Mailing Fax Number | 9105753926 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-02-05 |
| Authorized Official Name | DR. BERNARD LEROY LANGSTON III (PRESIDENT) |
| Authorized Official Telephone | 9107548731 |
| 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 |
|---|---|---|---|
| NC | 348912A | 05 |
| Other Name | Type Code |
|---|---|
| Seaside Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992764211 | Shallotte Medical Center Inc | Family Medicine | 3875 Business Hwy 17 E, Bolivia, NC 28422 | 2006-03-23 |
| 1609845049 | Shallotte Medical Center Inc | Family Medicine | 341-a Whiteville Rd, Shallotte, NC 28470 | 2006-03-17 |
| 1306815741 | Shallotte Medical Center Inc | Family Medicine | 2930 Holden Beach Rd, Supply, NC 28462 | 2006-03-17 |
| Street Address |
710 SUNSET BLVD N |
| City | SUNSET BEACH |
| State | NC |
| Zip Code | 28468-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619325925 | Emergeortho, Pa | Orthopaedic Surgery | 710 Sunset Blvd N, Suite C, Sunset Beach, NC 28468-4345 | 2016-05-26 |
| 1457750838 | Novant Medical Group, Inc | Family Medicine | 710 Sunset Blvd N, Suite A, Sunset Beach, NC 28468-4345 | 2014-08-21 |
| 1821428525 | Novant Medical Group Inc | Family Medicine | 710 Sunset Blvd N, Suite B, Sunset Beach, NC 28468-4345 | 2013-11-15 |
| 1942546981 | Orthowilmington, Pa | Durable Medical Equipment & Medical Supplies | 710 Sunset Blvd N, Suite C, Sunset Beach, NC 28468-4345 | 2012-12-19 |
| 1740434604 | Seaside Family Medicine P.a. | Clinic/Center | 710 Sunset Blvd N, Suite A, Sunset Beach, NC 28468-4345 | 2008-11-05 |
| 1649342072 | Novant Medical Group, Inc. | Family Medicine | 710 Sunset Blvd N, Suite B, Sunset Beach, NC 28468-4345 | 2006-11-14 |
| 1225121031 | Jessica Ann Henderson | Physical Medicine & Rehabilitation | 710 Sunset Blvd N, Suite C, Sunset Beach, NC 28468-4345 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619495280 | Tara Salay | Physical Therapist | 7459 High Market St, Ste 6, Sunset Beach, NC 28468 | 2017-09-05 |
| 1366610859 | Aiken, Munson, & Jones, I, Pa | Dentist | 688 Sunset Blvd N., Sunset Beach, NC 28468 | 2008-02-19 |
| 1265615074 | Peter A Winn | Physical Therapist | 1733 Seaside Road, Suite A, Sunset Beach, NC 28468 | 2007-12-14 |
| 1740350818 | Robert Kevin Aiken | Dentist | 688 Sunset Blvd, Sunset Beach, NC 28468 | 2006-11-08 |
| 1548217714 | Seaside Orthopaedic Clinic, PC | Orthopaedic Surgery | 710 Sunset Blvd N Ste C, Sunset Beach, NC 28468 | 2006-05-31 |
| 1639187602 | Richard L Young | Orthopaedic Surgery | 710 Sunset Blvd N Ste C, Sunset Beach, NC 28468 | 2006-08-04 |
| 1205350261 | Cynthia Flores Borders | Dietitian, Registered | 419 5th St, Sunset Beach, NC 28468-4009 | 2017-08-01 |
| 1750396859 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 852 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2006-07-29 |
| 1588611677 | Sunset Imaging, LLC | Clinic/Center | 850 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2006-05-27 |
| 1831185438 | Henry Lepore | Physical Medicine & Rehabilitation | 830 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2005-09-20 |
| Find all providers in zip 28468 | ||||
| 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 |
|---|---|---|---|---|
| 1548537665 | Mcleod Physician Associates II | Family Medicine | 690 Sunset Blvd. North, Suite 109, Sunset Beach, NC 28468-4337 | 2011-11-17 |
| 1457750838 | Novant Medical Group, Inc | Family Medicine | 710 Sunset Blvd N, Suite A, Sunset Beach, NC 28468-4345 | 2014-08-21 |
| 1821428525 | Novant Medical Group Inc | Family Medicine | 710 Sunset Blvd N, Suite B, Sunset Beach, NC 28468-4345 | 2013-11-15 |
| 1649342072 | Novant Medical Group, Inc. | Family Medicine | 710 Sunset Blvd N, Suite B, Sunset Beach, NC 28468-4345 | 2006-11-14 |
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|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | SUNSET BEACH |
| Zip Code | 28468 |
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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.