MCPC-5, LLC (NPI# 1679119499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679119499 |
| Entity Type | Organization |
| Organization Name | MCPC-5, LLC |
| Other Organization Name | FIRSTHEALTH HEART FAILURE CLINIC |
| Practice Address |
155 Memorial Dr Pinehurst NC 28374-8710 |
| Mailing Address |
Po Box 896208 Charlotte NC 28289-6208 |
| Practice Telephone | 9107158691 |
| Mailing Telephone | 9107158691 |
| Mailing Fax Number | 9107158692 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | LYNN S DEJACO (CFO) |
| Authorized Official Telephone | 9107154473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FirstHealth Heart Failure Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629327895 | Mcpc-5, LLC | Internal Medicine | 1705 Berwick Dr Ste A, Laurinburg, NC 28352-5550 | 2012-09-04 |
| 1437663994 | Mcpc-5, LLC | Internal Medicine | 610 N Fayetteville St Ste 202, Asheboro, NC 27203-4671 | 2017-11-20 |
| 1780064915 | Mcpc-5, LLC | Internal Medicine | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2015-06-03 |
| 1790191765 | Mcpc-5, LLC | Internal Medicine | 812 Candy Park Rd, Pembroke, NC 28372-9120 | 2014-07-10 |
| 1457604902 | Mcpc-5, LLC | Internal Medicine | 4565 Fayetteville Rd, Suite B, Raeford, NC 28376-7998 | 2012-10-22 |
| 1376892539 | Mcpc-5, LLC | Internal Medicine | 106 Physicians Park Dr, Rockingham, NC 28379-5204 | 2012-09-04 |
| 1740535483 | Mcpc-5, LLC | Internal Medicine | 7 Regional Cir, Pinehurst, NC 28374-9796 | 2012-07-18 |
| 1164784948 | Mcpc-5, LLC | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2012-06-08 |
| 1689944514 | Mcpc-5, LLC | Internal Medicine | 7 Regional Cir, Pinehurst, NC 28374-9796 | 2012-01-10 |
| Street Address |
155 MEMORIAL DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355406 | Steven P Michael | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2005-06-08 |
| 1497373435 | Brittany Nicole Trethewey | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-07-07 |
| 1972120798 | Brittany Cherish Atkinson | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-06-27 |
| 1497375273 | Patricia Fisher | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-04-21 |
| 1952941031 | Jonathon P Portincasa | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-07 |
| 1992344121 | Karen Hayes | Dietitian, Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-06 |
| 1215572540 | Karen Boston | Dietitian, Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-11-11 |
| 1063063766 | Michelle Marie Trexler | Nurse Practitioner | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-09-24 |
| 1912489725 | Viridiana C Morman | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-29 |
| 1689154494 | Joshua Falk | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295262103 | Mcpc-18, LLC | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-05-23 |
| 1396174363 | Unc Physicians Network, LLC | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2013-11-10 |
| 1740535483 | Mcpc-5, LLC | Internal Medicine | 7 Regional Cir, Pinehurst, NC 28374-9796 | 2012-07-18 |
| 1164784948 | Mcpc-5, LLC | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2012-06-08 |
| 1689944514 | Mcpc-5, LLC | Internal Medicine | 7 Regional Cir, Pinehurst, NC 28374-9796 | 2012-01-10 |
| 1700911328 | Edward Scott Anderson | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2007-02-22 |
| 1205870342 | F M Simmons Patterson Jr. | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-06-16 |
| 1841234887 | Patrick J Simpson | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-06-16 |
| 1154366110 | Joseph F Hakas Jr. | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-06-16 |
| 1518902584 | Joseph L Parrish | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8798 | 2006-06-16 |
| Find all providers in PINEHURST | ||||
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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.