WILMINGTON HEALTH PLLC (NPI# 1881632339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881632339 |
| Entity Type | Organization |
| Organization Name | WILMINGTON HEALTH PLLC |
| Practice Address |
1202 Medical Center Dr Wilmington NC 28401-7307 |
| Practice Telephone | 9103413300 |
| Practice Fax Number | 9108152882 |
| Mailing Telephone | 9103413300 |
| Mailing Fax Number | 9108152882 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2015-04-22 |
| Authorized Official Name | CHASITY CHACE (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 9103413384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
73991 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890294V | 05 | |
| NC | RAILROAD MEDICARE | CC5030 | 01 |
| NC | BCBS NC | 0294V | 01 |
| NC | RAILROAD MEDICARE | CC5031 | 01 |
| NC | RAILROAD MEDICARE | CC5032 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1851600159 | Wilmington Health Pllc | Family Medicine | 20 Southend Ct, Hampstead, NC 28443-7013 | 2010-10-04 |
| 1205078243 | Wilmington Health Pllc | Pediatrics | 4320 Henson Dr, Wilmington, NC 28405-7424 | 2009-04-06 |
| 1043485097 | Wilmington Health Pllc | Sleep Specialist, PhD | 1227 Medical Center Dr, Wilmington, NC 28401-7306 | 2008-04-29 |
| 1396910659 | Wilmington Health Pllc | Specialist | 8064 Market St, Wilmington, NC 28411-9384 | 2008-04-28 |
| 1902439169 | Wilmington Health Pllc | Clinic/Center | 612 College St, Jacksonville, NC 28540-5311 | 2020-02-17 |
| 1417234683 | Wilmington Health Pllc | Hearing Instrument Specialist | 2421 Silver Stream Ln, Atten: Credentialing, Wilmington, NC 28401-7684 | 2011-11-15 |
| 1912210865 | Wilmington Health Pllc | Family Medicine | 1000 Brabham Avenue, Jacksonville, NC 28546-5003 | 2010-07-21 |
| 1780996173 | Wilmington Health Pllc | Family Medicine | 5245 S College Rd, Wilmington, NC 28412-2209 | 2010-07-14 |
| 1326350190 | Wilmington Health Pllc | Internal Medicine | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2010-07-09 |
| Street Address |
1202 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704902 | Kyra F Williams | Physician Assistant | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2005-07-20 |
| 1598389462 | Clara Wortham Robinson | Nurse Practitioner | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2020-06-05 |
| 1225669435 | Dina Jane Sarro | Nurse Practitioner | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2020-01-28 |
| 1538799861 | Brandy Rhodes | Nurse Practitioner | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2020-01-26 |
| 1134654056 | Anna Paylor | Nurse Practitioner | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2017-04-28 |
| 1518491927 | Wendy Laura Atkinson | Hospitalist | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2017-04-13 |
| 1093247611 | Prasheen Piyush Shah | Hospitalist | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2017-04-02 |
| 1871038463 | Justin Tilley | Physician Assistant | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2017-01-05 |
| 1144681917 | Kathryn Elizabeth Davis | Nurse Practitioner | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2016-03-08 |
| 1376916296 | Maria Mastoras | Nurse Practitioner | 1202 Medical Center Dr, Attn: Credentialing, Wilmington, NC 28401-7307 | 2015-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1508007121 | Canterwood Medical Group | Clinic/Center | 2207 Canterwood Dr, Wilmington, NC 28401-7301 | 2009-03-11 |
| 1588101851 | Edge Medical Services | Clinic/Center | 1209 W 8th St Apt 3, Wilmington, DE 19806-4667 | 2017-01-25 |
| 1891243127 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2016-09-15 |
| 1821441338 | The Launch Pad, Inc | Clinic/Center | 3121 Wrightsville Ave, Wilmington, NC 28403-4111 | 2016-07-20 |
| 1972987253 | Actavis Group Corp | Clinic/Center | 536 Greenhill Ave, Wilmington, DE 19805-1851 | 2015-07-16 |
| 1598048175 | Coastal Horizons Center Inc | Clinic/Center | 613 Shipyard Blvd, Wilmington, NC 28412-6492 | 2011-09-21 |
| 1285954644 | Hanover Primary Care | Clinic/Center | 2207 Canterwood Dr, Wilmington, NC 28401-7301 | 2010-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851340 | Be Inc | Clinic/Center | 13 N Kaufman Stone Way, Candler, NC 28715-7721 | 2020-11-06 |
| 1801424171 | Recover Together, Inc. | Clinic/Center | 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 | 2020-03-31 |
| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
| 1356846406 | Healthworks Med Group of North Carolina P C | Clinic/Center | 1040 E 3rd St, Siler City, NC 27344-7639 | 2018-03-29 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.