PEMBROKE MEDICAL CENTER, INC. (NPI# 1285658021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285658021 |
| Entity Type | Organization |
| Organization Name | PEMBROKE MEDICAL CENTER, INC. |
| Practice Address |
102 South Main Street Pembroke NC 28372 |
| Mailing Address |
Po Box 3609 102 South Main Street Pembroke NC 28372-3609 |
| Practice Telephone | 9105210510 |
| Practice Fax Number | 9105215582 |
| Mailing Telephone | 9105210510 |
| Mailing Fax Number | 9105215582 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | MR. FRANK WORIAX (MD PHYSICIAN) |
| Authorized Official Telephone | 9105210510 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21384 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890135A | 05 |
| Street Address |
102 SOUTH MAIN STREET |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917690 | Socoria Lee Dial | Counselor | 102 South Main Street, Pembroke, NC 28372 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| 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 |
|---|---|---|---|---|
| 1609437706 | Heidi Nichole Buxton | Family Medicine | 4 Donna Dr, Pembroke, NH 03275-3102 | 2019-06-28 |
| 1912385915 | Shannon Leigh Burnham | Family Medicine | 15 Corporate Park Dr, Pembroke, MA 02359-1966 | 2015-05-11 |
| 1851582092 | Donovan D Dixon | Family Medicine | 812 Candy Park Road 5101, Pembroke, NC 28372-7322 | 2007-08-05 |
| 1457571432 | Jennifer Pickens Locklear | Family Medicine | 410d S Jones St, Pembroke, NC 28372-7261 | 2007-05-01 |
| 1174675748 | Michael Andrew Register | Family Medicine | 244 Ledford Street, Pembroke, GA 31321-1183 | 2007-01-17 |
| 1730292103 | Steven H Kaitz | Family Medicine | 48 Glass St, Pembroke, NH 03275-1506 | 2006-08-17 |
| 1154349850 | Saint Josephs Medical Group Inc | Family Medicine | 159 West Railroad St, Pembroke, GA 31321 | 2006-07-18 |
| 1841238573 | Robert Niegisch | Family Medicine | 121 Pembroke St, Pembroke, NH 03275-1311 | 2006-06-03 |
| 1437136413 | Laurie A. Dimaria | Family Medicine | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2005-12-29 |
| 1770573578 | Tulula Locklear Lowry | Family Medicine | Robeson County Cboc, 139 Three Hunts Drive, Pembroke, NC 28372 | 2005-10-24 |
| Find all providers in PEMBROKE | ||||
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| 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.