MCPC-5, LLC (NPI# 1790191765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790191765 |
| Entity Type | Organization |
| Organization Name | MCPC-5, LLC |
| Practice Address |
812 Candy Park Rd Pembroke NC 28372-9120 |
| Mailing Address |
Po Box 896208 Charlotte NC 28289-6208 |
| Practice Telephone | 9104174105 |
| Practice Fax Number | 9104174120 |
| Mailing Telephone | 9104174105 |
| Mailing Fax Number | 9104174120 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | LYNN DEJACO (CFO) |
| Authorized Official Telephone | 9107151913 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629327895 | Mcpc-5, LLC | Internal Medicine | 1705 Berwick Dr Ste A, Laurinburg, NC 28352-5550 | 2012-09-04 |
| 1679119499 | Mcpc-5, LLC | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-11-27 |
| 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 |
| 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 |
812 CANDY PARK RD |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275534968 | Joseph T Bell | Pediatrics | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2005-08-03 |
| 1205476165 | Kayla Jacobs | Physician Assistant | 812 Candy Park Rd, Pembroke, NC 28372-9120 | 2020-01-08 |
| 1568843688 | Rsb Faircloth Inc | Pharmacy | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2015-06-15 |
| 1326478199 | April Whittemore Locklear | Counselor | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2013-11-15 |
| 1093144784 | Millicent Joy Locklear | Nurse Practitioner | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2013-11-04 |
| 1508208166 | Cierra Harris Leviner | Speech-Language Pathologist | 812 Candy Park Rd, Suite 7101a, Pembroke, NC 28372-9129 | 2013-07-24 |
| 1962746644 | Speech N Progress, Inc. | Speech-Language Pathologist | 812 Candy Park Rd, Suite 7101 A, Pembroke, NC 28372-9129 | 2012-11-19 |
| 1952645723 | Faline Dial | Speech-Language Pathologist | 812 Candy Park Rd, Suite 7101a, Pembroke, NC 28372-9129 | 2012-11-19 |
| 1073860045 | Private Diagnostic Clinic, Pllc | Internal Medicine | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2012-08-09 |
| 1992078489 | Carenet, Inc. | Counselor | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2012-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| 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 |
|---|---|---|---|---|
| 1073860045 | Private Diagnostic Clinic, Pllc | Internal Medicine | 812 Candy Park Rd, Pembroke, NC 28372-9129 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
| 1619467529 | Clerio Francisco De Azevedo Filho | Internal Medicine | 10 Medicine Circle - Duke Medical Pavilion Room 1e50, Durham, NC 27710-0001 | 2018-05-16 |
| 1700385846 | The Presbyterian Hospital | Internal Medicine | 1918 Randolph Rd Ste 820, Charlotte, NC 28207-1119 | 2018-02-05 |
| 1841713187 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 | 2017-07-19 |
| 1225563463 | Benjamin Mcginty Chilcutt | Internal Medicine | 300 Meadowmont Village Cir Ste 104, Chapel Hill, NC 27517-7518 | 2017-04-25 |
| 1437517182 | Regional Physicians LLC | Internal Medicine | 103 W Center St, Lexington, NC 27292 | 2016-02-09 |
| 1982069928 | Four Jewels Healthways | Internal Medicine | 320 Lillington Ave Ste 201, Charlotte, NC 28204-3189 | 2015-12-17 |
| 1932505294 | Donald Frederick Fortin | Internal Medicine | 14001 Weston Pkwy, Suite 101, Cary, NC 27513-2255 | 2014-11-14 |
| 1538564232 | Forsyth Memorial Hospital, Inc | Internal Medicine | 694 Riverside Drive, Mt. Airy, NC 27030-3117 | 2014-10-24 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| Find all providers with the same taxonomy | ||||
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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.