Active NPI
Med Care of North Carolina PLLC
- Family Medicine Physician
- Jacksonville, NC
National Provider Identifier
1366548836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MED CARE OF NORTH CAROLINA PLLC
- Practice address
- 1899 N Marine Blvd
Jacksonville, NC 28546-6555 - Phone
- (910) 347-1515
- NPI assigned
- Sep 15, 2006
- Last updated
- Jan 4, 2010
- 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. Robert Kastner, MD
- Title
- Owner MD
- Phone
- (910) 392-7806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1899 N Marine Blvd
Jacksonville, NC 28546-6555
Mailing address
5245 S College Rd
Wilmington, NC 28412-2209
Phone (910) 392-7806
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89011X4 | Medicaid | NC | |
| CH6587 | Other | NC | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1899 N Marine Blvd
Jacksonville, NC 28546
Phone (910) 347-1515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262563200000",
"number": "1366548836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5245 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122209",
"telephone_number": "910-392-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 N MARINE BLVD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466555",
"telephone_number": "910-347-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED CARE OF NORTH CAROLINA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2010-01-04",
"status": "A",
"authorized_official_last_name": "KASTNER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER MD",
"authorized_official_telephone_number": "910-392-7806",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89011X4",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH6587",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
- Kelly McNett
- Rhiannon McNett
- Maren Lillie McWilliams, MA CCC SP
- Meadows Lutcavage Smith Vinton Fidler Long & Armstrong PA (Eastern Carolina Oral & Maxillofacial Surgery)
- John Thomas Meadows, D.D.S.
- Med First Immediate Care & Family Practice PA
- Med First Immediate Care & Family Practice PA
- Med First Immediate Care & Family Practice, PA
- Med First Immediate Care & Family Practice, PA
- Med First Immediate Care & Family Practice, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.