Active NPI
International Family Clinic
- Pediatrics Physician
- Burlington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0099-01649
- Legal business name
- INTERNATIONAL FAMILY CLINIC
- Practice address
- 2105 Maple Ave
Burlington, NC 27215-6853 - Phone
- (336) 570-0010
- Fax
- (336) 570-0012
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David A. Stein, MD
- Title
- Medical Director
- Phone
- (336) 570-0010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0099-01649 | NC | Primary |
Addresses
Primary practice location
2105 Maple Ave
Burlington, NC 27215-6853
Mailing address
2105 Maple Ave
Burlington, NC 27215-6853
Phone (336) 570-0010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7902461 | Medicaid | NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0969428 | International Family Clinic | Certificate of waiver | May 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Burlington, NC
- NPI 1497930002
-
- Pediatrics Physician
- Elon, NC
- NPI 1003859943
-
- Pediatrics Physician
- Burlington, NC
- NPI 1275579609
-
- Pediatrics Physician
- Fredericksburg, VA
- NPI 1336568591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374451200000",
"number": "1326105016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 MAPLE AVE",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272156853",
"telephone_number": "336-570-0010",
"fax_number": "336-570-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 MAPLE AVE",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272156853",
"telephone_number": "336-570-0010",
"fax_number": "336-570-0012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNATIONAL FAMILY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2013-07-22",
"status": "A",
"authorized_official_last_name": "STEIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "336-570-0010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "0099-01649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7902461",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.