WILMINGTON PROACTIVE MEDICINE, PA (NPI# 1124467584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124467584 |
| Entity Type | Organization |
| Organization Name | WILMINGTON PROACTIVE MEDICINE, PA |
| Practice Address |
1410 Commonwealth Dr Suite 100 Wilmington NC 28403-0376 |
| Mailing Address |
1410 Commonwealth Dr Suite 100 Wilmington NC 28403-0314 |
| Practice Telephone | 9106794784 |
| Practice Fax Number | 9107775453 |
| Mailing Telephone | 9106794784 |
| Mailing Fax Number | 9107775453 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-08-16 |
| Authorized Official Name | APRIL SCOTT (PRACTICE MANAGER) |
| Authorized Official Telephone | 9104312512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
9701146 | NC | Ambulatory Health Care Facilities |
| Street Address |
1410 COMMONWEALTH DR SUITE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-0376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699702894 | Sonja Maia Shanley | Family Medicine | 1410 Commonwealth Dr, Ste 100, Wilmington, NC 28403-0376 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907929 | Hanover Pediatrics | Clinic/Center | 5032 Crown Point Ln, Wilmington, NC 28409-3298 | 2017-04-25 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1710334503 | Odibo Medical Group Pllc | Clinic/Center | 508 John S Mosby Dr, Wilmington, NC 28412-7121 | 2016-05-21 |
| 1366852519 | Bw Family Medical Center | Clinic/Center | 404 Clayton Ave, Wilmington, DE 19809-1413 | 2014-04-28 |
| 1568808376 | Healthworks Med Group of Delaware P A | Clinic/Center | 802 Delaware Ave, Wilmington, DE 19801-1377 | 2013-05-20 |
| 1306109251 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 131 W Anaheim St, Wilmington, CA 90744-4416 | 2012-06-15 |
| 1750541322 | Sea Breeze Health Center Inc | Clinic/Center | 123 E F St Unit F, Wilmington, CA 90744-5817 | 2008-06-16 |
| 1457437832 | Singson Medical Group Pa | Clinic/Center | 1021 Gilpin Avenue, Suite 104, Wilmington, DE 19806 | 2006-10-28 |
| 1932194586 | Wilmington Community Clinic | Clinic/Center | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2005-09-20 |
| 1285191494 | Precision Care & Wellness, LLC | Clinic/Center | 4001 Miller Rd Ste 1, Wilmington, DE 19802-1961 | 2019-02-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on WILMINGTON PROACTIVE MEDICINE, PA.
| 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.