PURA CLINIC FAMILY MEDICINE PC (NPI# 1609296128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609296128 |
| Entity Type | Organization |
| Organization Name | PURA CLINIC FAMILY MEDICINE PC |
| Practice Address |
124 Baywood Rd Suite 111 Fayetteville NC 28312-8733 |
| Mailing Address |
Po Box 4860 Murrells Inlet SC 29576-2698 |
| Practice Telephone | 9108295108 |
| Practice Fax Number | 9108295107 |
| Mailing Telephone | 8436512624 |
| Mailing Fax Number | 8433574940 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | DR. MOHAMAD A. SHAKIR (OWNER) |
| Authorized Official Telephone | 9108295108 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164842670 | Pura Clinic Family Medicine PC | Durable Medical Equipment & Medical Supplies | 124 Baywood Rd, Suite 111, Fayetteville, NC 28312-8733 | 2014-04-23 |
| 1487077491 | Pura Clinic Family Medicine PC | Family Medicine | 124 Baywood Rd, Suite 111, Fayetteville, NC 28312-9136 | 2014-01-27 |
| Street Address |
124 BAYWOOD RD SUITE 111 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28312-8733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316294762 | Laurence R. Mester, Jr., D.d.s. & Associates II, P.a. | Dentist | 124 Baywood Rd, Suite 100, Fayetteville, NC 28312-8702 | 2012-08-03 |
| 1164842670 | Pura Clinic Family Medicine PC | Durable Medical Equipment & Medical Supplies | 124 Baywood Rd, Suite 111, Fayetteville, NC 28312-8733 | 2014-04-23 |
| 1487077491 | Pura Clinic Family Medicine PC | Family Medicine | 124 Baywood Rd, Suite 111, Fayetteville, NC 28312-9136 | 2014-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185207 | Christine U Jones | Technician | 3801 Stedman Cedar Creek Rd, Fayetteville, NC 28312 | 2019-10-11 |
| 1497305890 | Stephanie Deshawn Cain | Technician | 1250 Colts Pride Dr, Fayetteville, NC 28312 | 2019-09-17 |
| 1477057545 | Accurate Sleep Diagnostic Center LLC | Clinic/Center | 4220 Locks Creek Church Road, Fayetteville, NC 28312 | 2018-03-22 |
| 1245739457 | Heather S Callihan | Home Health | 415 Old Vander Rd, Fayetteville, NC 28312 | 2018-02-03 |
| 1497088371 | Rainbow Pediatrics of Eastover | Pediatrics | 3361 Dunn Rd, Eastover, NC 28312 | 2009-09-10 |
| 1093947798 | Nuvision Home Care, Inc. | Home Health | 1549 River Road, Fayetteville, NC 28312 | 2009-08-13 |
| 1992724157 | Jactom Inc | Skilled Nursing Facility | 3532 Dunn Road, Fayetteville, NC 28312 | 2006-07-19 |
| 1134580442 | Elizabeth Boyle Kleinfelder | Nurse Practitioner | 3551 Dunn Rd, Eastover, NC 28312 | 2016-03-14 |
| 1629458369 | Mato Brown | Social Worker | 511 Middle Rd, Fayetteville, NC 28312 | 2015-06-08 |
| 1225109911 | William I Cross | Emergency Medicine | 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 | 2006-11-13 |
| Find all providers in zip 28312 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326405903 | Summit Urgent Care, LLC | Clinic/Center | 749 Lanier Ave W, Fayetteville, GA 30214-7658 | 2016-01-27 |
| 1417390154 | Fayette Medical Services Pllc | Clinic/Center | 5447 Maple Ln Ste B, Fayetteville, WV 25840-6872 | 2013-04-11 |
| 1467768135 | Angels Urgent Care, PC | Clinic/Center | 2356 John Smith Road, Fayetteville, NC 28306 | 2010-08-19 |
| 1750490876 | Guardian Hart Medical Care | Clinic/Center | 1074 Southern Ave, Fayetteville, NC 28306 | 2006-08-30 |
| 1366939456 | American Current Care of North Carolina PC | Clinic/Center | 1702 Owen Dr, Fayetteville, NC 28304-3419 | 2018-04-16 |
| 1619419363 | First Choice Family and Orthopedic Urgent Care Center | Clinic/Center | 420 Owen Dr, Fayetteville, NC 28304-3430 | 2016-11-11 |
| 1588095673 | Bridgeview Urgent Care | Clinic/Center | 5447 Maple Ln, Suite B, Fayetteville, WV 25840-6872 | 2013-11-27 |
| 1922248251 | Urgent Care Obstetrics & Gynecology | Clinic/Center | 413 Owen Dr, Suite 101, Fayetteville, NC 28304-3489 | 2009-02-26 |
| 1093919409 | Cape Fear Family Medical Care, Pa | Clinic/Center | 413 Owen Drive, Suite 202, Fayetteville, NC 28304 | 2007-06-12 |
| 1467679712 | Carolina Urgent & Family Care P.a. | Clinic/Center | 5511 Raeford Rd, Suite 150, Fayetteville, NC 28304-2057 | 2007-04-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28312 |
Please comment or provide details below to improve the information on PURA CLINIC FAMILY MEDICINE PC.
| 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.