Wilmington Family Physicians PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILMINGTON FAMILY PHYSICIANS PA

Practice address

4141 Shipyard Blvd
Wilmington, NC 28403-6156

Phone

(910) 792-9925

Fax

(910) 792-9926

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott William Visser, M.D.NPI 1376629113

Title

President

Phone

(910) 792-9925

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott William Visser, MD

  • Family Medicine Physician
  • Wilmington, NC
  • NPI 1376629113

  Family Medicine

  NPD Authorized official
• Robert Ray Johnson Jr., MD

  • Family Medicine Physician
  • Leland, NC
  • NPI 1982780722

  Family Medicine

  NPD

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1992869135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036156",
            "telephone_number": "910-792-9925",
            "fax_number": "910-792-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SHIPYARD BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036156",
            "telephone_number": "910-792-9925",
            "fax_number": "910-792-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON FAMILY PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "VISSER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-792-9925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wilmington, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.