PACK FAMILY MEDICINE, PLLC (NPI# 1992037709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992037709 |
| Entity Type | Organization |
| Organization Name | PACK FAMILY MEDICINE, PLLC |
| Practice Address |
212 S Pine St Elizabethtown NC 28337-9163 |
| Practice Telephone | 9108627225 |
| Mailing Telephone | 9108627225 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | MS. KAREN B PACK (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 9108627225 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 101844 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI-FOR KAREN B PACK PA-C | 1184653610 | 01 |
| Street Address |
212 S PINE ST |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337-9163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1013253756 | Raza Malik, Md, Inc. | Internal Medicine | 1528 Yorkshire Dr, Elizabethtown, KY 42701-9191 | 2012-12-28 |
| 1205128717 | Kidney Specialist of Kentucky Pllc | Internal Medicine | 105 Financial Drive, Suite 105, Elizabethtown, KY 42701-8437 | 2011-05-03 |
| 1518143577 | Brandon Lyle Houk | Internal Medicine | 2413 Ring Rd, Ste 122, Elizabethtown, KY 42701-5936 | 2008-01-21 |
| 1588871941 | William R. Handley | Internal Medicine | 114 E Memorial Dr, Elizabethtown, KY 42701-2502 | 2007-05-16 |
| 1619049194 | Melissa Falk Stephens | Internal Medicine | 4748 E Harrisburg Pike, Elizabethtown, PA 17022-9004 | 2006-11-14 |
| 1457469165 | Bladen Medical Associates | Internal Medicine | 300 E Mckay St, Suite A, Elizabethtown, NC 28337-0517 | 2006-08-25 |
| 1154436012 | Bladen Healthcare LLC | Internal Medicine | 507 Doctor's Drive, Elizabethtown, NC 28337 | 2006-08-20 |
| 1538114855 | Charles E Moisan Jr. | Internal Medicine | 74 Park St, Elizabethtown, NY 12932-2303 | 2006-05-24 |
| 1255314407 | Syed Zulfiqar Ahmed | Internal Medicine | 1009 N Dixie, Elizabethtown, KY 42701 | 2005-11-22 |
| 1386635670 | Brian Eklund | Internal Medicine | 914 North Dixie, Suite 304, Elizabethtown, KY 42701 | 2005-11-04 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
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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.