Michael Andrew Wall (NPI# 1407244007, PAC ID# 3173849346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1407244007 |
| PAC ID by PECOS | 3173849346 |
| Professional Enrollment ID | I20150305001148 |
| Full Name | Michael Andrew Wall |
| Organization Legal Name | MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA |
| Address |
200 Cape Fear Cir Suite 1 Sneads Ferry NC 28460-9192 |
| Phone Number | 9103272277 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446332720 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 609 Richlands Hwy 6, Jacksonville, NC 28540-3606 | 9104557888 | MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA |
| 200 Cape Fear Cir, Suite 1, Sneads Ferry, NC 28460-9192 | 9103272277 | MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA |
| 718 W Corbett Ave, Swansboro, NC 28584-8452 | 9103265588 | MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA |
| Organization Legal Name | MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Nicole Marshall | Physician Assistant | Med First Immediate Care and Family Practice Pa | 2115 S Main St, Suite A, Wake Forest, NC 27587-5011 |
| Jimmena Kamil Huffman Hall | Nurse Practitioner | Med First Immediate Care and Family Practice Pa | 1728 N Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-9998 |
| Sheila Anne Mcauliffe Marano | Nurse Practitioner | Med First Immediate Care and Family Practice Pa | 325 Western Blvd, Jacksonville, NC 28546-6341 |
| John D Arce | Nurse Practitioner | Med First Immediate Care and Family Practice Pa | 308 Dolphin Dr, Jacksonville, NC 28546-5266 |
| Edward W Haga | Family Medicine | Med First Immediate Care and Family Practice Pa | 1899 N Marine Blvd, Jacksonville, NC 28546-6555 |
| Patrick J Daigle | Family Medicine | Med First Immediate Care and Family Practice Pa | 7901 Emerald Dr, Suite 7, Emerald Isle, NC 28594-2880 |
| Jennifer Marie Lipsky | Nurse Practitioner | Med First Immediate Care and Family Practice Pa | 2002 S Glenburnie Rd, Suite 100, New Bern, NC 28562-5229 |
| Ronald H Peeler | Emergency Medicine | Med First Immediate Care and Family Practice Pa | 506 Hwy 301 N, Dillon, SC 29536-2958 |
| June A Fawcett-hardy | Nurse Practitioner | Med First Immediate Care and Family Practice Pa | 1033 Randolph St, Suite 32, Thomasville, NC 27360-5731 |
| Melissa S Rose | Nurse Practitioner | Med First Immediate Care and Family Practice Pa | 4002 Elton Way, Suite 105, Greensboro, NC 27406-8973 |
| Street Address |
200 CAPE FEAR CIR SUITE 1 |
| City | SNEADS FERRY |
| State | NC |
| Zip | 28460-9192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Harrigan | Physician Assistant | Med First Immediate Care and Family Practice Pa | 200 Cape Fear Cir, Suite 1, Sneads Ferry, NC 28460-9192 |
| Danielle R Hayes | Physician Assistant | Med First Immediate Care and Family Practice Pa | 200 Cape Fear Cir, Suite 1, Sneads Ferry, NC 28460-9192 |
| Jessica Danielle Holmes | Physician Assistant | Med First Immediate Care and Family Practice Pa | 200 Cape Fear Cir, Suite 1, Sneads Ferry, NC 28460-9192 |
| Eugenio D Gonzalez | Physician Assistant | Med First Immediate Care and Family Practice Pa | 200 Cape Fear Cir, Suite 1, Sneads Ferry, NC 28460-9192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett E Whitekettle | Chiropractic | 200 Cape Fear Circle, Suite 2, Sneads Ferry, NC 28460-9192 |
| City | SNEADS FERRY |
| Zip Code | 28460 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SNEADS FERRY + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.