KING MEDICAL ASSOCIATES (NPI# 1669681854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669681854 |
| Entity Type | Organization |
| Organization Name | KING MEDICAL ASSOCIATES |
| Practice Address |
202 Scenic Drive King NC 27021 |
| Mailing Address |
Po Box 548 202 Scenic Drive King NC 27021 |
| Practice Telephone | 3369833113 |
| Practice Fax Number | 3369855042 |
| Mailing Telephone | 3369833113 |
| Mailing Fax Number | 3369855042 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RENATO M ZARATE (OWNER COOWNER) |
| Authorized Official Telephone | 3369833113 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 19303 | NC | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 22149 | NC | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | 22149 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890174H | 05 |
| Street Address |
202 SCENIC DRIVE |
| City | KING |
| State | NC |
| Zip Code | 27021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1447898754 | Magnolia Eye Care, O.d. Pllc | Optometrist | 141 Spruce Pine Way, Suite C, King, NC 27021 | 2019-12-17 |
| 1700268000 | Andrew Kiger | Physical Therapist | 710 Kirby Rd, King, NC 27021 | 2015-06-23 |
| 1053745471 | Priddy Manor Assisted Living | Custodial Care Facility | 1294 Priddy Road, King, NC 27021 | 2013-08-22 |
| 1790068369 | Mohamed Hamdy Darwish | Pharmacist | 600 S Main St., King, NC 27021 | 2011-09-21 |
| 1093000192 | Megan Kistler | Pharmacist | 600 S. Main Street, King, NC 27021 | 2011-06-16 |
| 1316237563 | A.t. Bassiri, D.d.s., P.a. | Dentist | 226 Kirby Road, King, NC 27021 | 2011-04-08 |
| 1033417258 | Teresa Bryant Jennings | Pharmacist | 650 S. Main Street, King, NC 27021 | 2011-03-11 |
| 1447319595 | North Carolina Cvs Pharmacy LLC | Pharmacy | 600 South Main St, King, NC 27021 | 2006-12-06 |
| 1295836070 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 650 South Main Street, King, NC 27021 | 2006-09-26 |
| Find all providers in zip 27021 | ||||
| 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 |
|---|---|---|---|---|
| 1972596211 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 167 Moore Rd, King, NC 27021-8770 | 2005-08-23 |
| 1023000239 | Samuel Carl Newsome | Family Medicine | 304 Mountain View Rd, King, NC 27021-8768 | 2005-08-16 |
| 1245797745 | Novant Medical Group, Inc. | Family Medicine | 167 Moore Rd Ste 201, King, NC 27021-8770 | 2019-02-21 |
| 1669818076 | Holly Antony Borders | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2013-05-14 |
| 1124389796 | Amber M. Hairford | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2012-05-31 |
| 1538489679 | Joshua Stewart Long | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2010-06-10 |
| 1548587983 | Rebecca Keener Mckinnon | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2010-04-26 |
| 1508024290 | Dana R Winn | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2008-05-29 |
| 1467619049 | Linda A. Turner | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2008-05-21 |
| 1538201629 | Ryan Dwain Gilliam | Family Medicine | 216 Moore Rd, King, NC 27021-8703 | 2007-02-13 |
| Find all providers in KING | ||||
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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.