Frederick E Pfeiffer II, MD
Individual provider Active NPI Neurology Physician · Star, NC
NPI 1336199454 · NPPES record last updated May 13, 2015
Key facts
- NPI
- 1336199454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 29641 (NC)
- Practice address
- 103 Cotton Creek Rd
Star, NC 27356-7954 - Phone
- (910) 428-9020
- Fax
- (910) 428-9022
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29641 | NC | MD | Neurology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 29641 | NC | Yes |
| Internal Medicine Physician | 207R00000X | 29641 | NC |
Addresses
Primary practice location
103 Cotton Creek Rd
Star, NC 27356-7954
Mailing address
274 Ikerd Dr SE
Concord, NC 28025-3800
Phone (704) 517-5096
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8967419 | Medicaid | NC |
Other providers in Star, NC
- Karen Wilkie Hoerner
- Larry Kennedy
- Valerie Ann Lenhart
- Kaitlin Briana McNeill
- MCPC-27, LLC
- Robeson Health Care Corporation
- Starmont Assisted Living
- Therapeutic Alternatives Incorporated
- Therapeutic Alternatives, Inc.
- Johanna Vazquez-Rodriguez
All providers in Star, NC · Neurology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.