Healthcare Provider Details

I. General information

NPI: 1235364019
Provider Name (Legal Business Name): NC EMERGENCY PHYSICIAN PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 05/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 COLLEGE ST
OXFORD NC
27565-2507
US

IV. Provider business mailing address

861 SW 78TH AVE SUITE 200
PLANTATION FL
33324-3273
US

V. Phone/Fax

Practice location:
  • Phone: 919-690-3416
  • Fax: 954-625-6034
Mailing address:
  • Phone: 877-693-5700
  • Fax: 954-625-6034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SCHILLINGER
Title or Position: SOLE MBR
Credential: M.D.
Phone: 877-693-5700