SHORELINE FAMILY PRACTICE PC (NPI# 1972153724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972153724 |
| Entity Type | Organization |
| Organization Name | SHORELINE FAMILY PRACTICE PC |
| Practice Address |
18676 Us Highway 17 N Ste 1 Hampstead NC 28443-4050 |
| Practice Telephone | 9103199954 |
| Practice Fax Number | 9103199955 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | DAVID FLOYD HOAG II (PRESIDENT) |
| Authorized Official Telephone | 9103199954 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
18676 US HIGHWAY 17 N STE 1 |
| City | HAMPSTEAD |
| State | NC |
| Zip Code | 28443-4050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284745 | Jenean Lacorte | Specialist/Technologist, Other | 18676 Hwy 17 N., Suite 11, Hampstead, NC 28443 | 2020-10-29 |
| 1457966947 | Lauren Paige Nester | Registered Nurse | 113 Pagoda Ct., Hampstead, NC 28443 | 2020-09-10 |
| 1326503657 | Village Pharmacy of Hampstead Inc | Pharmacy | 14057 Hwy 17, Suite 100, Hampstead, NC 28443 | 2019-01-31 |
| 1154896280 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 1397 Us Hwy 17 North, Hampstead, NC 28443 | 2018-10-04 |
| 1134580178 | William Boone | Specialist/Technologist | 106 Katydid Ct, Hampstead, NC 28443 | 2016-03-18 |
| 1679959837 | New River Wellness, Pa | Social Worker | 15444 Us Highway 17 North, Bldg 233, Hampstead, NC 28443 | 2015-08-10 |
| 1932509791 | Laura Behr Jarosz | Physician Assistant | 114 Osier Dr, Hampstead, NC 28443 | 2014-08-29 |
| 1053737064 | Katelyn Braswell | Student in an Organized Health Care Education/Training Program | 309 Knollwood Dr, Hampstead, NC 28443 | 2014-03-14 |
| 1598101826 | Johnson Drug Hampstead Inc. | Pharmacy | 17230 Us Hwy 17n, Suite 222, Hampstead, NC 28443 | 2013-05-14 |
| 1053658302 | James William Boyer | Specialist/Technologist, Other | 1768 Hwy 210, Hampstead, NC 28443 | 2013-01-07 |
| Find all providers in zip 28443 | ||||
| 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 |
|---|---|---|---|---|
| 1174939011 | Carroll Health Group, LLC | Family Medicine | 2319 Hanover Pike, Suite E-f, Hampstead, MD 21074-1137 | 2014-07-10 |
| 1316238173 | Mostafa Mohamed Rezk | Family Medicine | 144 Merchants Cir, Hampstead, NC 28443-5039 | 2011-04-28 |
| 1851600159 | Wilmington Health Pllc | Family Medicine | 20 Southend Ct, Hampstead, NC 28443-7013 | 2010-10-04 |
| 1831414150 | Island Family Medicine, Pllc | Family Medicine | 2540 Nc Highway 210 E, Hampstead, NC 28443-8988 | 2010-03-30 |
| 1114116662 | William J Mattox Md Pa | Family Medicine | 16150 Us Highway 17 N Ste C, Hampstead, NC 28443-7308 | 2007-10-22 |
| 1538233390 | Barbara Ann Ball | Family Medicine | 4231 North Woods Trail, Hampstead, MD 21074 | 2006-11-20 |
| 1811008477 | Michelle F Jones | Family Medicine | 40 Ravenswood Rd, Hampstead, NC 28443-4022 | 2006-08-31 |
| 1760490023 | Domingo A Rocha | Family Medicine | 4231 Northwoods Trail, Hampstead, MD 21074 | 2006-08-03 |
| 1922059419 | William Joseph Mattox | Family Medicine | 16150 Us Highway 17 N, Suite C, Hampstead, NC 28443-7308 | 2006-05-12 |
| 1558350223 | Thomas Joseph Cammilleri | Family Medicine | 207 Stage Rd, Hampstead, NH 03841-2224 | 2005-10-17 |
| Find all providers in HAMPSTEAD | ||||
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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.