D MICHAEL MAHAN MD PA NPI 1427056027

NPI Information

NPI: 1427056027
Provider Name: D MICHAEL MAHAN MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
120 CHARLES D ROLLINS RD
SUITE 105
HENDERSON, NC
ZIP 27536
Phone: (252) 436-6543
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D MICHAEL MAHAN MD PA is a family medicine in Henderson, 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. D MICHAEL MAHAN MD PA NPI is 1427056027. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 CHARLES D ROLLINS RD
SUITE 105
HENDERSON, NC
ZIP 27536-882
Phone: (252) 436-6543
Fax: (252) 436-2109

The provider's authorized official is Dennis Michael Mahan .
The authorized official title is Ceo and has the following contact phone number (919) 693-7108.

The enumeration date for this NPI number is 7/8/2005 and was last updated on 6/25/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		25053	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2344810	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	CIGNA MEDICARE
2	D3535	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	RAILROAD MEDICARE
3	012JG	OTHER	NORTH CAROLINA	BCBSNC
4	89012JG	MEDICAID	NORTH CAROLINA
5	C89071	MEDICARE UPIN	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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