PINE HAVEN FAMILY MEDICINE PA (NPI# 1891960241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891960241 |
| Entity Type | Organization |
| Organization Name | PINE HAVEN FAMILY MEDICINE PA |
| Practice Address |
604 West Academy St Randleman NC 27317 |
| Practice Telephone | 3364981200 |
| Practice Fax Number | 3364981206 |
| Mailing Telephone | 3364981200 |
| Mailing Fax Number | 3364981206 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2012-11-30 |
| Authorized Official Name | DR. JOHN JAMES SLATOSKY JR. (OWNER PHYSICIAN) |
| Authorized Official Telephone | 3364981200 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9900682 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891212U | 05 | |
| NC | MEDICARE | 2348546 | 01 |
| Street Address |
604 WEST ACADEMY ST |
| City | RANDLEMAN |
| State | NC |
| Zip Code | 27317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356629026 | Eric James Ablott | Optometrist | 200 West Academy St, Randleman, NC 27317 | 2011-07-29 |
| 1902923139 | Sanford M Cates | Dentist | 107 West Naomi St, Randleman, NC 27317 | 2007-03-23 |
| 1295804417 | Grant James Haviland | Dentist | 215 West Naomi Street, Randleman, NC 27317 | 2006-11-06 |
| 1396763843 | Therapeutic Alternatives Inc | In Home Supportive Care | 4270 Heath Dairy Road, Randleman, NC 27317 | 2006-07-17 |
| 1982676441 | John James Slatosky Jr. | Family Medicine | 604 W Academy St, Randleman, NC 27317 | 2006-02-07 |
| 1598269748 | Carol A Bullard | Nurse Practitioner | 608 W Academy St, Randleman, NC 27317 | 2018-03-22 |
| 1174026058 | Jordan C Mullins | Specialist/Technologist | 201 Hammond St, Randleman, NC 27317-1435 | 2018-03-16 |
| 1992867402 | Ryan E Snipes | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2006-12-14 |
| 1558900035 | Eyecarecenter Od Pa | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2019-12-31 |
| 1508195330 | Onsite Eyecare Od Pa | Optometrist | 200 W Academy St, Randleman, NC 27317-1504 | 2009-12-07 |
| Find all providers in zip 27317 | ||||
| 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 |
|---|---|---|---|---|
| 1508367327 | Salutem Inc | Family Medicine | 807 High Point St Unit H, Randleman, NC 27317-9002 | 2018-02-27 |
| 1881612687 | Rajan Mitchell | Family Medicine | 670 W Academy St, Randleman, NC 27317-9748 | 2006-07-18 |
| 1982676441 | John James Slatosky Jr. | Family Medicine | 604 W Academy St, Randleman, NC 27317 | 2006-02-07 |
| 1477810265 | Randleman Medical Clinic Pllc | Family Medicine | 702 S Main St, Randleman, NC 27317-2102 | 2012-04-18 |
| 1679741912 | Randolph Specialty Group Practice | Family Medicine | 670 W Academy St, Randleman, NC 27317-9748 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586581 | Fhpg, LLC | Family Medicine | 1690 Us Highway 1 S Ste 200, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1740889864 | Mcpc-8, LLC | Family Medicine | 1690 Us Highway 1 S Ste 100, Southern Pines, NC 28387-7037 | 2020-10-20 |
| 1851999882 | Integrative Wellness Partners, Inc | Family Medicine | 3555 Hansa Dr, Castle Hayne, NC 28429-5863 | 2020-10-12 |
| 1124625504 | Tiffany Anne Swanson | Family Medicine | 405 Climax St, Graham, NC 27253-1608 | 2020-10-08 |
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1558975433 | Kerr Area Rural Medical Alliance Pllc | Family Medicine | 266 Raymond Tharrington Rd, Louisburg, NC 27549-9687 | 2020-09-08 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
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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.