Medhead, PLLC

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

20090-00061 Issued in NC

Legal business name

MEDHEAD, PLLC

Practice address

35 Memorial Dr
Pinehurst, NC 28374-8708

Phone

(910) 715-5904

NPI assigned

Jun 26, 2013

Last updated

Apr 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Nierzwicki

Title

Manager

Phone

(414) 858-2208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1609216456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE STE 101",
            "address_2": "PO BOX 26428",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532262315",
            "telephone_number": "414-858-2208",
            "fax_number": "414-858-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748708",
            "telephone_number": "910-715-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHEAD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "NIERZWICKI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-858-2208"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "20090-00061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tytiona McRae
• James Donald Mead, DMD
• Carly Elizabeth Meadows, LCMHCA
• Gary Edward Means, MD
• Mark Frederic Medford, M.D.
• James Douglas Medwick, D.M.D.
• Alexey B Melkumov, M.D.
• Sydney Mellor
• Lori L Meltzer, P.T.
• Christopher Michael Melvin, CADC

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.