MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA (NPI# 1255851358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255851358 |
| Entity Type | Organization |
| Organization Name | MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA |
| Practice Address |
1728 Fordham Blvd Chapel Hill NC 27514-2397 |
| Mailing Address |
1616 E Millbrook Rd Raleigh NC 27609-4968 |
| Practice Telephone | 9199681985 |
| Practice Fax Number | 9199420038 |
| Mailing Telephone | 9193414016 |
| Mailing Fax Number | 9103461907 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | MR. PAUL FENECK (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9193414016 |
| Is Organization Subpart | Y |
| Parent Organization Name | MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518564 | Med First Immediate Care & Family Practice Pa | Family Medicine | 5130 Southport Supply Rd Se Ste 101, Southport, NC 28461-9262 | 2017-06-23 |
| 1346760352 | Med First Immediate Care & Family Practice Pa | Family Medicine | 2002 S Glenburnie Rd Ste 100, New Bern, NC 28562-5229 | 2017-06-21 |
| 1609306166 | Med First Immediate Care & Family Practice Pa | Family Medicine | 200 Cape Fear Cir Ste 1, Sneads Ferry, NC 28460-9192 | 2017-06-18 |
| 1740710391 | Med First Immediate Care & Family Practice Pa | Family Medicine | 275 Nc 24 50 Hwy, Kenansville, NC 28349-8933 | 2017-06-15 |
| 1457647885 | Med First Immediate Care & Family Practice Pa | Family Medicine | 7901 Emerald Drive, Ste 7, Emerald Isle, NC 28549-2880 | 2011-06-23 |
| 1487178588 | Med First Immediate Care & Family Practice Pa | Family Medicine | 2115 S Main St Ste A, Wake Forest, NC 27587-5011 | 2017-07-31 |
| 1386165686 | Med First Immediate Care & Family Practice Pa | Family Medicine | 609 Richlands Hwy Ste 6, Jacksonville, NC 28540-3606 | 2017-06-28 |
| 1043730617 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1899 N Marine Blvd, Jacksonville, NC 28546-6555 | 2017-06-23 |
| 1154841260 | Med First Immediate Care & Family Practice Pa | Family Medicine | 1328 Lake Park Blvd N, Carolina Beach, NC 28428-3935 | 2017-06-21 |
| 1881114007 | Med First Immediate Care & Family Practice Pa | Family Medicine | 718 W Corbett Ave, Swansboro, NC 28584-8452 | 2017-06-20 |
| Street Address |
1728 FORDHAM BLVD |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27514-2397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308049 | Bruce Bair | Physician Assistant | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514 | 2005-10-04 |
| 1417493008 | Kristin Stankevitz | Physician Assistant | 1728 Fordham Blvd, Chapel Hill, NC 27514-2397 | 2017-01-06 |
| 1659510139 | Katrina Hoke Williams | Physician Assistant | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-2397 | 2009-02-06 |
| 1497898597 | William Ingram Powell Iv | Nurse Practitioner | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-2397 | 2007-02-15 |
| 1619037041 | Peggy Jo Robinson | Physician Assistant | 1728 Fordham Blvd, 151 Ram's Plaza, Chapel Hill, NC 27514-2397 | 2006-12-08 |
| 1982763306 | Anne Theresa Vaillancourt | Physician Assistant | 1728 Fordham Blvd, 151 Ram's Plaza, Chapel Hill, NC 27514-2397 | 2006-12-08 |
| 1750441184 | Betty Jo Haswell | Physician Assistant | 1728 Fordham Blvd, 151 Ram's Plaza, Chapel Hill, NC 27514-2397 | 2006-12-08 |
| 1073539912 | Glenn Ashley Withrow | Family Medicine | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-2397 | 2006-07-14 |
| 1881623023 | North Carolina Family Doctor, P.a. | Clinic/Center | 1728 Fordham Blvd, 151 Rams Plaza, Chapel Hill, NC 27514-2397 | 2006-07-01 |
| 1972530459 | Jean Woods | Dentist | 1728 Fordham Blvd, Suite 125, Chapel Hill, NC 27514-2397 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790900 | Ellen Cowherd | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care, 1512 East Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-28 |
| 1033739586 | Elizabeth Marie O'neil | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic, 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-24 |
| 1235759986 | Stephanie Crawford Gehle | Student in an Organized Health Care Education/Training Program | 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1710507462 | Mustafa Al-hassan Abid | Student in an Organized Health Care Education/Training Program | Unc Hospitals -- Office of Graduate Medical Education, 101 Manning Drive, Cb#7600, Chapel Hill, Nc, 27514, Chapel Hill, NC 27514 | 2020-04-23 |
| 1114547775 | Xavier Joseph Williams | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic 1512 E. Franklin St., Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1922568773 | Christina Mcswain Burke | Social Worker | Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514 | 2019-03-20 |
| 1881160158 | Ryan Hall | Pharmacist | 2110 Estes Drive, Chapel Hill, NC 27514 | 2018-10-15 |
| Find all providers in zip 27514 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427584598 | William Joseph Kane | Family Medicine | 60109 Davie, Chapel Hill, NC 27517-8467 | 2017-05-10 |
| 1538691696 | Hallum Kirkwoood Dickens Iv | Family Medicine | 88 Vilcom Center Dr Ste 110, Chapel Hill, NC 27514-1660 | 2017-03-29 |
| 1366897522 | Liza Straub | Family Medicine | Unc Department of Family Medicine, 590 Manning Dr., Chapel Hill, NC 27599-0001 | 2016-04-25 |
| 1295121671 | Nathan Peter Sison | Family Medicine | Unc Family Medicine, 590 Manning Dr, Chapel Hill, NC 27599-0001 | 2015-04-12 |
| 1205222080 | Andrea Dotson | Family Medicine | Unc Family Medicine Center 59 Manning Dr, Chapel Hill, NC 27599 | 2015-04-08 |
| 1710392329 | Jennie Emery | Family Medicine | Unc Ch Campus Health Services, James A Taylor Building Cb #7470, Chapel Hill, NC 27599-7470 | 2014-06-23 |
| 1861805046 | Eli Craven Tate | Family Medicine | 101 Manning Dr Rm 1017, Chapel Hill, NC 27514-4220 | 2014-06-05 |
| 1619317328 | Mary Sherwyn Mouw | Family Medicine | Unc Hospitals--geriatric Medicine, 5003 Old Clinic Building, Cb #7550, Chapel Hill, NC 27599-7550 | 2013-06-26 |
| 1457693384 | Peter Alfred Garrett | Family Medicine | 1001 Parchemin Trl, Chapel Hill, NC 27516-8341 | 2013-03-18 |
| 1255677787 | Ronald Edward Mendelsohn | Family Medicine | 112 Old Forest Creek, Chapel Hill, NC 27514 | 2013-01-03 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27514 |
Please comment or provide details below to improve the information on MED FIRST IMMEDIATE CARE & FAMILY PRACTICE 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.