PHYSICIAN CARE DIRECT, LLC (NPI# 1619453537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619453537 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN CARE DIRECT, LLC |
| Other Organization Name | EHOP HEALTH |
| Practice Address |
223 Wonderland Trl Blowing Rock NC 28605-6376 |
| Mailing Address |
1457 Kelly Rd # 112 Apex NC 27502-9572 |
| Practice Telephone | 8557232300 |
| Mailing Telephone | 8557232300 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Authorized Official Name | DR. WILLIAM THOMAS LAWSON JR. (CEO) |
| Authorized Official Telephone | 8557232300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EHOP HEALTH | Doing Business As Name - Organization |
| INNOVADOC, LLC | Former Legal Business Name - Organization |
| Street Address |
223 WONDERLAND TRL |
| City | BLOWING ROCK |
| State | NC |
| Zip Code | 28605-6376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043508880 | Jennifer Higgins Eller | Speech-Language Pathologist | 4665 Blowing Rock Blvd., Blowing Rock, NC 28605 | 2011-07-14 |
| 1760630016 | 180 Behavioral Health, Pllc | Clinic/Center | 496 Morningside Dr., Blowing Rock, NC 28605 | 2008-08-28 |
| 1821265745 | Joseph Mckendrie Jenkins | Urology | 223 Wonderland Trail, Blowing Rock, NC 28605 | 2008-05-09 |
| 1548334964 | Richard Walter Kitchell | Dentist | 366chestnut Dr, Blowing Rock, NC 28605 | 2006-11-17 |
| 1386725737 | Adam E. Hill, Dds | Dentist | 434-2 Sunset Drive, Blowing Rock, NC 28605 | 2006-10-18 |
| 1871507673 | Blowing Rock Hospital, Swing | Medicare Defined Swing Bed Unit | 418 Chestnut Drive, Blowing Rock, NC 28605 | 2006-07-28 |
| 1851413561 | Blowing Rock Hospital | Pharmacy | 418 Chestnut Drive, Blowing Rock, NC 28605 | 2007-04-04 |
| 1629428370 | Appalachian Regional Medical Associates Inc | Internal Medicine | 623 Chestnut Ridge Parkway, Blowing Rock, NC 28605-0000 | 2016-06-14 |
| 1922046820 | Blowing Rock Medical Clinic Pr | Family Medicine | 366 Chestnut Drive, Blowing Rock, NC 28605-0008 | 2006-06-03 |
| 1871788794 | Jennifer Arquette | Speech-Language Pathologist | 4665 Blowing Rock Blvd Lenoir Nc 28645, 146, Blowing Rock, NC 28605-0146 | 2007-09-13 |
| Find all providers in zip 28605 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326003419 | Medicorpcare, Inc | Clinic/Center | 1817 Watlington Dr, Charlotte, NC 28270-0785 | 2006-04-20 |
| 1952836595 | Synergy Healthcare Usa, LLC | Clinic/Center | 3140 N Highway 16, Denver, NC 28037-7314 | 2017-04-20 |
| 1265784813 | Kmart Pharmacy | Clinic/Center | 2455 Lewisville Clemmons Rd, Clemmons, NC 27012-8709 | 2012-10-07 |
| City | BLOWING ROCK |
| Zip Code | 28605 |
Please comment or provide details below to improve the information on PHYSICIAN CARE DIRECT, 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.