Downtown Clinic, P.a.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

69766 Issued in NC

Legal business name

DOWNTOWN CLINIC, P.A.

Doing business as

The Downtown MedCenter

Practice address

119 Chestnut St
Wilmington, NC 28401-3940

Phone

(910) 762-5588

Fax

(910) 762-5589

NPI assigned

Jan 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Patrick Egerer, P.A.NPI 1891765137

Title

Owner

Phone

(910) 762-5588

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Downtown MedCenter Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Patrick Egerer, P.A.

  • Medical Physician Assistant
  • Wilmington, NC
  • NPI 1891765137
  Medicare reassignment Authorized official
• Henry W Traylor, MD

  • Internal Medicine Physician
  • Whiteville, NC
  • NPI 1588677736
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1093785719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CHESTNUT ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013940",
            "telephone_number": "910-762-5588",
            "fax_number": "910-762-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 CHESTNUT ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013940",
            "telephone_number": "910-762-5588",
            "fax_number": "910-762-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "EGERER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-762-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "69766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "012V5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012V5",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Downtown MedCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Downing Pharmacy Group, Inc (Cape Fear Compounding Pharmacy)
• Downing Pharmacy Group, Inc (Cape Fear Pharmacy)
• Jessica Downing, RBT
• Karen Lynne Downing, PHARMD
• Michael Eugene Downing, RPH
• James Thomason Doxey, LPCS, LCAS, CCS, CRC
• John David Doyal, DC
• Paige Doyal, DC
• Emily Donovan Doyle, CNM, WHNP-BC
• Dr Jeffrey R Coleman Optometrist PA

• Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.