Organization Active NPI

Hope Family Medicine PLLC

  • Family Medicine Physician
  • Albemarle, NC
National Provider Identifier
1699156034
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210353 Issued in NC
Legal business name
HOPE FAMILY MEDICINE PLLC
Practice address
929 N 2ND St
Suite 201
Albemarle, NC 28001-3363
Phone
(704) 438-6389
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Kenneth Douglas Shank, DO
Title
Owner
Phone
(704) 438-6389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 210353 NC Primary

Addresses

Primary practice location

929 N 2ND St
Suite 201
Albemarle, NC 28001-3363

Mailing address

PO Box 984
Albemarle, NC 28002-0984

National Provider Directory

National Provider Directory

Locations

929 N 2nd St
Ste 201
Albemarle, NC 28001
Phone (704) 983-2700

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1699156034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 984",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280020984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N 2ND ST",
            "address_2": "SUITE 201",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013363",
            "telephone_number": "704-438-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-438-6389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "210353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.