SHALLOTTE MEDICAL CENTER INC (NPI# 1609845049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609845049 |
| Entity Type | Organization |
| Organization Name | SHALLOTTE MEDICAL CENTER INC |
| Practice Address |
341-a Whiteville Rd Shallotte NC 28470 |
| Mailing Address |
Po Box 2561 Shallotte Medical Center Inc Shallotte NC 28459 |
| Practice Telephone | 9107548731 |
| Practice Fax Number | 9107543153 |
| Mailing Telephone | 9107548731 |
| Mailing Fax Number | 9107543153 |
| 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 | 344615A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992764211 | Shallotte Medical Center Inc | Family Medicine | 3875 Business Hwy 17 E, Bolivia, NC 28422 | 2006-03-23 |
| 1538138979 | Shallotte Medical Center Inc | Family Medicine | 710 Sunset Blvd N, Sunset Beach, NC 28468-4340 | 2006-03-17 |
| 1306815741 | Shallotte Medical Center Inc | Family Medicine | 2930 Holden Beach Rd, Supply, NC 28462 | 2006-03-17 |
| Street Address |
341-A WHITEVILLE RD |
| City | SHALLOTTE |
| State | NC |
| Zip Code | 28470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609336981 | Open Gate Counseling Services Pllc | Counselor | 117 Holden Beach Rd Sw, Suite 109a, Shallotte, NC 28470 | 2019-03-22 |
| 1689188286 | Justice Pharmacy,inc | Pharmacy | 301 S Willis Dr, #112, Shallotte, NC 28470 | 2017-11-20 |
| 1609224914 | Emergeortho, Pa | Orthopaedic Surgery | 5160 Ocean Highway West, Shallotte, NC 28470 | 2016-05-26 |
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1265741128 | Janet Rhyne Martin | Speech-Language Pathologist | 4902 Main Street, Suite D, Shallotte, NC 28470 | 2010-09-27 |
| 1225261555 | Jason Keeley Riemann | Chiropractor | 4911 Bridgers Rd, Shallotte, NC 28470 | 2009-09-03 |
| 1215108972 | Frederick A. Williams,dmd, Pa | Dentist | 343 Whiteville Road, Shallotte, NC 28470 | 2008-03-20 |
| 1053599316 | Brian Salvatore Lank | Chiropractor | 728 Village Rd, Sw, Shallotte, NC 28470 | 2008-02-08 |
| 1356539795 | Life Changers Intervention Services LLC | Community/Behavioral Health | 5039 Main St Suite 2, Shallotte, NC 28470 | 2007-10-10 |
| 1235267766 | Edmond Cochard | Psychologist | 120 Coastal Horizons Drive, Shalotte, NC 28470 | 2007-02-28 |
| Find all providers in zip 28470 | ||||
| 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 |
|---|---|---|---|---|
| 1295959310 | Blake Family Medicine Pllc | Family Medicine | 4704 Main St, Shallotte, NC 28470-1880 | 2007-04-12 |
| 1265517122 | Jonathan Lawrence Langston | Family Medicine | Shallotte Medical Center Inc, 341a Whiteville Rd, Shallotte, NC 28470 | 2006-10-26 |
| 1750344644 | Southeastern Healthcare Centers PC | Family Medicine | 4501 Main St, Unit 2, Shallotte, NC 28470-4589 | 2006-04-11 |
| 1356336457 | Angela R Thompson | Family Medicine | 5145 Sellers Rd, Shallotte, NC 28470-3405 | 2005-09-14 |
| 1427343730 | Jarrod Thomas Sheatsley | Family Medicine | 5145 Sellers Rd, Shallotte, NC 28470-3405 | 2011-06-15 |
| 1851539662 | Lucien Sanders Wilkins | Family Medicine | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2009-02-02 |
| 1710051123 | Novant Medical Group Inc | Family Medicine | 5145 Sellers Rd, Suite A, Shallotte, NC 28470-3405 | 2006-11-17 |
| 1205804739 | Christopher B Isenhour | Family Medicine | 5145 Sellers Rd, Shallotte, NC 28470-3405 | 2006-03-10 |
| 1669460374 | Daniel Crawford Hall | Family Medicine | 5145 Sellers Rd, Shallotte, NC 28470 | 2005-10-07 |
| 1104814946 | Clark E Pritts | Family Medicine | 5145 Sellers Rd, Shallotte, NC 28470-3405 | 2005-10-06 |
| Find all providers in SHALLOTTE | ||||
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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.