MCPC-20, LLC (NPI# 1295385748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295385748 |
| Entity Type | Organization |
| Organization Name | MCPC-20, LLC |
| Practice Address |
220 Page Rd Pinehurst NC 28374-8748 |
| Practice Telephone | 9107153504 |
| Mailing Telephone | 9107153504 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | LYNN S DEJACO (CFO) |
| Authorized Official Telephone | 9107154473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FirstHealth Gynecologic Oncology | Doing Business As Name - Organization |
| Street Address |
220 PAGE RD |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225014178 | Todd A Moore | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374-8748 | 2005-12-21 |
| 1922668904 | Bobbi S Clark | Nurse Practitioner | 220 Page Rd, Pinehurst, NC 28374-8748 | 2019-06-20 |
| 1750525838 | Michael Steven Batalo | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374-8748 | 2009-04-21 |
| 1134150345 | Susan Elizabeth Bazinet | Nurse Practitioner | 220 Page Rd, Pinehurst, NC 28374 | 2006-07-05 |
| 1669417820 | Ellen M Willard | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374 | 2006-06-19 |
| 1063469856 | Charles Samuel Kuzma | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374-8748 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417010422 | Firsthealth of The Carolinas, Inc. | Clinic/Center | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1306885975 | Coastal Carolina Health Care Pa | Clinic/Center | 1010 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-06 |
| 1386121929 | Harnett Health System, Inc. | Clinic/Center | 800 Tilghman Dr, Dunn, NC 28334-5510 | 2018-07-26 |
| 1174036115 | Novant Medical Group, Inc | Clinic/Center | 301 Hawthorne Ln Ste 200, Charlotte, NC 28204-2467 | 2017-11-13 |
| 1841605995 | Cape Fear Valley Health System Specialty Group, LLC | Clinic/Center | 805 Tilghman Dr Ste C, Dunn, NC 28334-5883 | 2014-06-27 |
| 1396086401 | East Carolina University | Clinic/Center | 600 Moye Blvd, Brody Module F, Greenville, NC 27834 | 2013-03-14 |
| 1881946242 | Cumberland County Hospital System, Inc. | Clinic/Center | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2012-10-10 |
| 1710291885 | Medical Center of High Point Cancer Center | Clinic/Center | 2630 Willard Dairy Rd, Suite 300, High Point, NC 27265-8351 | 2010-08-01 |
| 1194951806 | Transylvania Community Hospital, Inc. | Clinic/Center | 89 Hospital Dr, Suite A, Brevard, NC 28712-4838 | 2009-06-09 |
| 1518995190 | Cancer Centers of North Carolina | Clinic/Center | 3320 Wake Forest Rd, Raleigh, NC 27609-7300 | 2006-06-30 |
| Find all providers with the same taxonomy | ||||
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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.