MYMD PERSONAL FAMILY CARE, PLLC (NPI# 1871119818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871119818 |
Entity Type | Organization |
Organization Name | MYMD PERSONAL FAMILY CARE, PLLC |
Practice Address |
110 W Wood Hill Dr Unit 108 Nags Head NC 27959-9394 |
Mailing Address |
5331 Captains Way Nags Head NC 27959-9502 |
Practice Telephone | 2524899574 |
Practice Fax Number | 2524572250 |
Mailing Telephone | 2524899574 |
Mailing Fax Number | 2524572250 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-24 |
Authorized Official Name | DR. JENNIFER DAUGHERTY HALLORAN (OWNER) |
Authorized Official Telephone | 2524899574 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
110 W WOOD HILL DR UNIT 108 |
City | NAGS HEAD |
State | NC |
Zip Code | 27959-9394 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821609124 | Charla D Huff | Counselor | 2224 S Croatan Hwy, Nags Head, Nc 27959, Nags Head, NC 27959 | 2020-08-11 |
1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
1780847392 | Brainard Lee Ackley | Chiropractor | 119 West Woodhill Drive, Suite 7, Nags Head, NC 27959 | 2008-07-03 |
1629241963 | Joseph Console Martone | Dentist | 2300 Croatan Highway, Suite #203, Nags Head, NC 27959 | 2008-04-08 |
1902096886 | Tristan Roderick | Psychologist | 2514 South Croatan Hwy, Nags Head, NC 27959 | 2007-07-27 |
1750593570 | Joan Beall | Counselor | 2215 Va Dare Trail, Nags Head, NC 27959 | 2007-05-04 |
1366654071 | William Milnor Downing Vi | Dentist | 2917 South Croatan Hwy, Nags Head, NC 27959 | 2007-05-04 |
1821117318 | Bear Drugs of Nags Head Inc. | Pharmacy | 4711 S. Croatan Hwy, Unit #4, Nags Head, NC 27959 | 2007-03-28 |
1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
1477607273 | Albemarle Mental Health Center | Social Worker | 2514 S Croatan Hwy, Nags Head, NC 27959 | 2007-01-22 |
Find all providers in zip 27959 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558633651 | Outer Banks Family Medicine, Pllc | Clinic/Center | 2522 S Croatan Hwy, Suite 1-b, Nags Head, NC 27959-8809 | 2012-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
1003326802 | Essential Health & Wellness Raleigh | Clinic/Center | 2011 Falls Valley Dr Ste 111, Raleigh, NC 27615-3451 | 2017-10-05 |
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.