Midway Medical Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

62447 Issued in NC

Legal business name

MIDWAY MEDICAL CENTER, PA

Practice address

6750 Carolina Blvd
Clyde, NC 28721-7052

Phone

(828) 627-2211

Fax

(855) 876-9354

NPI assigned

Aug 18, 2008

Last updated

Aug 1, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MIDWAY MEDICAL CENTER, PAAs reported in NPPES

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

Authorized official

Name

Mark E Kinter, MDNPI 1366434557

Title

President

Phone

(828) 627-2211

Specialties & licenses 1

Addresses

Other identifiers 3

Part of

Midway Medical Center P

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Midway Medical Center, PA

  • Family Medicine Physician
  • Clyde, NC
  • NPI 1780637850
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edward Kinter, M.D.

  • Family Medicine Physician
  • Canton, NC
  • NPI 1366434557
  NPD Authorized official
• Sarah Chepeleff, MD

  • Family Medicine Physician
  • Clyde, NC
  • NPI 1619626223
  NPD
• Marjorie S Levreau, M.D.

  • Family Medicine Physician
  • Canton, NC
  • NPI 1326030529
  NPD
• Teresa J Bradley, M.D.

  • Family Medicine Physician
  • Arden, NC
  • NPI 1396711230
  NPD (past)
• Barbara T Dubiel, M.D.

  • Internal Medicine Physician
  • Canton, NC
  • NPI 1760555411
  NPD (past)
• Adrienne Elizabeth Shue Stanley, MD

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1942405618
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1699921999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 CAROLINA BLVD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217052",
            "telephone_number": "828-627-2211",
            "fax_number": "855-876-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 CAROLINA BLVD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217052",
            "telephone_number": "828-627-2211",
            "fax_number": "855-876-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY MEDICAL CENTER, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWAY MEDICAL CENTER, PA",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "KINTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-627-2211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "62447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900304",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "4245150001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C17128",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Margaret Meiners, PA-C
• MH Mission Hospital, LLLP (Carolina Spine and Neurosurgery, a department of Mission Hospital)
• MH Mission Hospital, LLLP (Mission Wound Healing Center, a department of Mission Hospital)
• MH Mission Hospital, LLLP (Asheville Orthopedics-Clyde, a department of Mission Hospital)
• MH Transylvania Regional Hospital, LLLP (Mission Community Primary Care - Haywood)
• Midway Medical Center, PA
• Joseph Miller, MD
• William Donald Miller, M.D.
• Alfred Joseph Albert Mina, M.D.
• Mission Hospital, Inc. (Wound Healing and Hyperbaric Center)

• Family Medicine Physician in Clyde, NC
• Providers in Clyde, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.