Active NPI
Hope Family Medicine PLLC
- Family Medicine Physician
- Albemarle, NC
National Provider Identifier
1699156034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 210353
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.