SHIPYARD MEDICAL CENTER
NPI 1609918937
Physician Assistant in Wilmington, NC

NPI Status: Active since February 13, 2007

Contact Information

2632 CAROLINA BEACH RD
SUITE C
WILMINGTON, NC
ZIP 28412
Phone: (919) 931-0490
Fax: (910) 796-1177

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  • Organization
  • Physician Assistant

About SHIPYARD MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Shipyard Medical Center, a primary care provider established in Wilmington, North Carolina operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1609918937 assigned on February 2007. The practitioner's primary taxonomy code is 363A00000X with license number NC 102817 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. Shipyard Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Betty G. Mackie (Office Manager)

NPI
1609918937
Provider Name
SHIPYARD MEDICAL CENTER
Entity Type
Organization
Location Address
2632 CAROLINA BEACH RD SUITE C WILMINGTON, NC 28412
Location Phone
(919) 931-0490
Location Fax
(910) 796-1177
Mailing Address
2632 CAROLINA BEACH RD SUITE C WILMINGTON, NC 28412
Mailing Phone
(919) 931-0490
Mailing Fax
(910) 796-1177
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2007
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Shipyard Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
NC 102817
License State
NC
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BETTY G. MACKIE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(919) 931-0490

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609918937
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091811696
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 1 + 1 + 6 + 9 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1609918937 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306050588SNOWY MOUNTAIN MANAGEMENT PLLC
Organization
Clinic/Center (Primary Care)2632 CAROLINA BEACH RD
WILMINGTON, NC 28412
(910) 409-0922
1578885570BEACON OF HOPE COUNSELING, PLLC
Organization
Counselor (Professional)2632 CAROLINA BEACH RD
WILMINGTON, NC 28412
(910) 599-6806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609918937, enumerated in the NPI registry as an "organization" on February 13, 2007

The provider is located at 2632 Carolina Beach Rd Suite C Wilmington, Nc 28412 and the phone number is (919) 931-0490

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on February 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.