CHRISTOPHER MARK MCKINLEY (NPI# 1447213855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447213855 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MARK MCKINLEY |
| Credential | MPAS, PA-C |
| Practice Address |
2050 Mercantile Dr Leland NC 28451-4053 |
| Mailing Address |
13025 Bending River Way Leland NC 28451-0547 |
| Practice Telephone | 9103712500 |
| Practice Fax Number | 9103712508 |
| Mailing Telephone | 3109772176 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
0010-08986 | NC | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.002432RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50002432 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2050 MERCANTILE DR |
| City | LELAND |
| State | NC |
| Zip Code | 28451-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562032 | Sbh - Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2019-01-23 |
| 1518479625 | Strategic Physicians LLC | Nurse Practitioner | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2017-10-30 |
| 1700295219 | Sbh - Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2014-08-08 |
| 1730503335 | Institutional Pharmacy Solutions, LLC | Pharmacy | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2014-02-18 |
| 1669896841 | Medical Associate Services, P.C. | Clinic/Center | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2014-02-10 |
| 1700209830 | Medical Associate Services, P.C. | Psychiatric Unit | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2014-01-24 |
| 1528498193 | Institutional Pharmacy Solutions | Pharmacy | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2013-11-19 |
| 1871839431 | Heather Piedra Hughes | Social Worker | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2012-12-28 |
| 1679835276 | Benjamin Donaldson | Physician Assistant | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2012-06-11 |
| 1437441243 | Angela Kay Queen | Pharmacist | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2011-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
| 1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
| 1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
| 1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
| 1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
| 1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679835276 | Benjamin Donaldson | Physician Assistant | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2012-06-11 |
| 1982633418 | Scott Robert Hitter | Physician Assistant | 509 Olde Waterford Way, Suite 101, Leland, NC 28451-4125 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
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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.