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LANDFALL FAMILY PRACTICE PLLC NPI 1437307832


NPI Information

NPI: 1437307832
Provider Name: LANDFALL FAMILY PRACTICE PLLC
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 34D1089201

Address:
5710 OLEANDER DR
SUITE 103
WILMINGTON, NC
ZIP 28403
Phone: (910) 772-2092
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LANDFALL FAMILY PRACTICE PLLC is a physician assistant in Wilmington, NC. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. LANDFALL FAMILY PRACTICE PLLC NPI is 1437307832. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5710 OLEANDER DR
SUITE 103
WILMINGTON, NC
ZIP 28403-766
Phone: (910) 772-2092
Fax: (910) 772-2093

The provider's authorized official is Patrick Mcconnell .
The authorized official title is Owner and has the following contact phone number (910) 772-2092.

The CLIA number assigned to this NPI record is 34D1089201 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 6/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant104190NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.