| NPI | 1093286379 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2018-12-11 |
| Last Updated | 2020-02-05 |
| Authorized Official | Kim Larsen Director of Credentialing Phone: 7708745400 |
| Mailing Address | Po Box 16255 Belfast, ME 04915-4057 United States Phone: (770) 874-5400 📍 View Map |
| Primary Practice Address | 6915 Village Medical Cir Clemmons, NC 27012-8002 United States Phone: (336) 893-1000 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207P00000X – Emergency Medicine | — | — |
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About NPI 1093286379
Tanglewood Park Physicians, Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093286379. The primary specialty listed is Emergency Medicine. The organization is located in Clemmons, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-12-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093286379?
NPI 1093286379 belongs to Tanglewood Park Physicians, Pllc, a Emergency Medicine in Clemmons, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093286379 active?
The current status of NPI 1093286379 in the NPPES registry is Active. The record was last updated on 2020-02-05.
What specialty is NPI 1093286379?
NPI 1093286379 is classified under the taxonomy Emergency Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093286379?
You can verify NPI 1093286379 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093286379?
The primary practice address on file for NPI 1093286379 is 6915 Village Medical Cir, Clemmons, NC 27012-8002. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093286379 issued?
NPI 1093286379 was first issued (enumerated) on 2018-12-11. The NPPES record was last updated on 2020-02-05.
Practice Location Map
Tanglewood Park Physicians, Pllc is located at 6915 Village Medical Cir, Clemmons, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tanglewood Park Physicians, Pllc. All records sourced from the CMS NPPES registry.