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NEW HANOVER MEDICAL GROUP PA NPI 1992751374


NPI Information

NPI: 1992751374
Provider Name: NEW HANOVER MEDICAL GROUP PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1960 S 16TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 343-9991
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NEW HANOVER MEDICAL GROUP PA is a family medicine in Wilmington, NC. The provider is 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. NEW HANOVER MEDICAL GROUP PA NPI is 1992751374. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1960 S 16TH ST
WILMINGTON, NC
ZIP 28401-647
Phone: (910) 343-9991

The provider's authorized official is Margo J Illobre .
The authorized official title is Business Office Supervisor and has the following contact phone number (910) 343-9991.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 11/11/2009.


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
1207R00000XInternal Medicine41057NORTH CAROLINANo
22085B0100XRadiologyBody ImagingNo
3207Q00000XFamily Medicine41057NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1230499AMEDICARE PINNORTH CAROLINA
2890218JMEDICAIDNORTH CAROLINA
31022110001MEDICARE NSCNORTH CAROLINA
4230499MEDICARE PINNORTH CAROLINA
5230499BMEDICARE PINNORTH CAROLINA

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: 4/28/2024

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