DR. FRED DOUGLAS MCQUEEN JR. (NPI# 1851380760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851380760 |
| Entity Type | Individual |
| Full Name | DR. FRED DOUGLAS MCQUEEN JR. |
| Credential | MD |
| Practice Address |
104 Rice St Hamlet NC 28345-3304 |
| Practice Telephone | 9105826712 |
| Practice Fax Number | 9105828212 |
| Mailing Telephone | 9105826712 |
| Mailing Fax Number | 9105828212 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2009-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
19375 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC INDIV | 58173 | 01 |
| NC | CAROLINA ACCESS | 5900489 | 01 |
| NC | 8958173 | 05 | |
| NC | RAILROAD MEDICARE | P00267001 | 01 |
| SC | 324577 | 05 |
| Street Address |
104 RICE ST |
| City | HAMLET |
| State | NC |
| Zip Code | 28345-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790774644 | Kay Rhoades | Nurse Practitioner | 104 Rice St, Hamlet, NC 28345-3304 | 2005-10-13 |
| 1043698848 | Kathy Horne Burgess | Nurse Practitioner | 104 Rice St, Hamlet, NC 28345-3304 | 2015-05-12 |
| 1043589815 | Hamlet Hma Ppm LLC | Nurse Practitioner | 104 Rice St, Hamlet, NC 28345-3304 | 2011-12-22 |
| 1467616532 | Novant Medical Group, Inc | Internal Medicine | 104 Rice St, Dba The Sandhills Medical Group, Hamlet, NC 28345-3304 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487149 | Crystal Jean Holman | Counselor | 526 Springhill Church Rd, Hamlet, NC 28345 | 2008-08-21 |
| 1376755132 | New Hope Adult Care | Assisted Living Facility | 406 Carr Street, Hamlet, NC 28345 | 2007-05-04 |
| 1972693869 | William Nall Cleveland | Dentist | 317 W Hamlet Avenue, Hamlet, NC 28345 | 2006-10-13 |
| 1730280629 | Paul Grayson Neal | Dentist | 806 West Hamlet Ave, Hamlet, NC 28345 | 2006-09-26 |
| 1689603060 | Spruce Ltc Group, LLC | Skilled Nursing Facility | 769 Old Cheraw Hwy, Hamlet, NC 28345 | 2006-06-30 |
| 1558353110 | Birmingham Drug Co Inc | Durable Medical Equipment & Medical Supplies | 27 W Main Street, Hamlet, NC 28345 | 2005-08-19 |
| 1881904043 | Southern Therapy Services | Speech-Language Pathologist | 34 W Main St, Hamlet, NC 28345 | 2010-10-20 |
| 1104868793 | Alan S Coulson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 108 Endo Lane, Suite 1, Hamlet, NC 28345 | 2006-06-11 |
| 1700329562 | Sherry Leviner | Nurse Practitioner | 707 Hylan Ave, Hamlet, NC 28345-2009 | 2016-11-28 |
| 1972610624 | William Roy Peele | Dentist | 104 Dogwood Ln, Hamlet, NC 28345-2217 | 2006-08-25 |
| Find all providers in zip 28345 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765058 | Frances Elizabeth Sutton | Family Medicine | 180 Southwood Dr, Clinton, NC 28328-5002 | 2018-06-27 |
| 1023313855 | Triangle Geriatrics & Palliative Medicine, Pllc | Family Medicine | 1010 Rosehill Ave, Durham, NC 27705-4019 | 2011-01-26 |
| 1316259013 | Graceful Aging,pc | Family Medicine | 2732 Bardolino Dr, Fayetteville, NC 28306-4636 | 2010-07-09 |
| 1306092549 | Coastal Mobile Medical Doctor, Pa | Family Medicine | 203 Stagecoach Dr, Jacksonville, NC 28546-9617 | 2008-08-07 |
| 1457541484 | North River Primecare PC | Family Medicine | 301 Jones Ave, Beaufort, NC 28516-1514 | 2007-07-26 |
| 1790812840 | Geridoc LLC | Family Medicine | 4431 Montibello Dr, Charlotte, NC 28226-7420 | 2007-02-27 |
| 1174658371 | Brunswick Gericare PC | Family Medicine | 602 Thomasboro Road, Calabash, NC 28467-9820 | 2007-02-21 |
| 1952446080 | Jeffrey Dean Martin | Family Medicine | North Carolina Disability Determination Services, 3301 Terminal Dr, Raleigh, NC 27602-0243 | 2007-02-20 |
| 1912048273 | Shine Thomas | Family Medicine | 1601 Brennar Ave, Salisbury, NC 28144-2515 | 2007-02-09 |
| 1982766283 | Balaji Pabbu | Family Medicine | 101 Heart Drive, Mail Stop 654, Greenville, NC 27834 | 2006-12-14 |
| 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.