Wilmington Proactive Medicine, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9701146 Issued in NC

Legal business name

WILMINGTON PROACTIVE MEDICINE, PA

Practice address

1410 Commonwealth Dr
Suite 100
Wilmington, NC 28403-0376

Phone

(910) 679-4784

Fax

(910) 777-5453

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

April Scott

Title

Practice Manager

Phone

(910) 431-2512

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Sonja Maia Shanley, M.D.

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1699702894
  NPD
• Katherine Sawyer Mann, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Wilmington, NC
  • NPI 1992924310
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1124467584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 COMMONWEALTH DR",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030314",
            "telephone_number": "910-679-4784",
            "fax_number": "910-777-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 COMMONWEALTH DR",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030376",
            "telephone_number": "910-679-4784",
            "fax_number": "910-777-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON PROACTIVE MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "910-431-2512"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9701146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilmington Pathology Associates PA
• Wilmington Pathology Laboratory Inc
• Wilmington Physical Therapy Inc
• Wilmington Plastic Surgery Specialists, P.a.
• Wilmington Primary Care, PA
• Wilmington Psychotherapy, PLLC
• Wilmington Smiles Gregory B. Garrett DDS
• Wilmington Speech Associates PC
• Wilmington Surgery Center, LP
• Wilmington Surgical Associates PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.