MAGNOLIA FAMILY MEDICINE PC (NPI# 1639319213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639319213 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA FAMILY MEDICINE PC |
| Practice Address |
3720 Shipyard Blvd Wilmington NC 28403-6147 |
| Practice Telephone | 9107963212 |
| Practice Fax Number | 9107963216 |
| Mailing Telephone | 9107963212 |
| Mailing Fax Number | 9107963216 |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | DR. RICHARD ADAM GUTSIN (OWNER) |
| Authorized Official Telephone | 9107963212 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9500364 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7937920 | 05 |
| Street Address |
3720 SHIPYARD BLVD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608145 | Richard A Gutsin | Family Medicine | 3720 Shipyard Blvd, Wilmington, NC 28403-6147 | 2005-09-06 |
| 1700288776 | Seashore Women's Health, Pllc | Obstetrics & Gynecology | 3720 Shipyard Blvd, Wilmington, NC 28403-6147 | 2014-09-22 |
| 1952454340 | Nadine Marie Antonelli | Obstetrics & Gynecology | 3720 Shipyard Blvd, Wilmington, NC 28403-6147 | 2007-01-19 |
| 1659323707 | Associates In Gynecology | Obstetrics & Gynecology | 3720 Shipyard Blvd, Wilmington, NC 28403 | 2006-05-17 |
| 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 | 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. |
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|---|---|---|---|---|
| 1720693922 | Delcare Health Solutions, LLC | Family Medicine | 2801 Lancaster Ave Ste E, Wilmington, DE 19805-5232 | 2020-09-14 |
| 1689288730 | Web Doctors, Inc | Family Medicine | 4023 Kennett Pike # 50372, Wilmington, DE 19807-2018 | 2020-09-06 |
| 1184233884 | Brittany Joyce Mcneil | Family Medicine | 1010 S 16th St, Wilmington, NC 28401-8018 | 2020-07-28 |
| 1003435256 | Lindo Family Health & Wellness Care | Family Medicine | 5309 Limestone Rd Ste B, Wilmington, DE 19808-1222 | 2020-04-08 |
| 1588296784 | Cityblock Medical Practice De, P.a. | Family Medicine | 1209 N Orange St, Wilmington, DE 19801-1120 | 2020-02-06 |
| 1033776323 | Advanced Regenerative Care of Wilmington, Pllc | Family Medicine | 4421 Junction Park Dr Ste 200, Wilmington, NC 28412-2291 | 2019-05-22 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1417343609 | Home Physicians Chesapeake, PC | Family Medicine | 300 Bellevue Pkwy, Suite 101, Wilmington, DE 19809-3704 | 2015-04-14 |
| 1952705725 | Healing Hand Family Care Clinics Corp | Family Medicine | 1231 N. Avalon Blvd, Wilmington, CA 90744-2601 | 2014-10-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.