Procare Medical Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200201529 Issued in NC

Legal business name

PROCARE MEDICAL CLINIC PLLC

Practice address

627 West Park Circle
N Wilkesboro, NC 28659-3563

Phone

(336) 667-5846

Fax

(336) 667-8376

NPI assigned

Dec 7, 2007

Last updated

Apr 23, 2014By 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

Sunita Singh, M.D.

Title

Sole Owner

Phone

(336) 667-5846

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1750564233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W PARK CIR",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593548",
            "telephone_number": "336-667-5846",
            "fax_number": "336-667-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 WEST PARK CIRCLE",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-667-5846",
            "fax_number": "336-667-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "336-667-5846",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200201529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909162",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PC CERT OF REGISTRATION",
            "identifier": "146020",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, INDIVIDUAL (WPN)",
            "identifier": "2010388F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891326F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Orthopaedic Assoc PA
• Novant Health Medical Group, LLC (Novant Health Cancer Institute)
• Novant Health Medical Group, LLC (Novant Health Brain & Spine Surgery)
• Novant Health Medical Group, LLC (Novant Health Pain Management)
• Roseann Pawlyszyn, LCSW
• Restored Youth Services, LLC
• Rebecca Lynn Russell, MS CCC-SLP
• Andrew Schrag
• Patricia Flye Segee, LPA
• Zachary Shepherd

• Internal Medicine Physician in N Wilkesboro, NC
• Providers in N Wilkesboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.