| Shoreline Health, PC | |
|
16150 Us Highway 17 Ste C Hampstead NC 28443-6302 | |
| (910) 319-9954 | |
| (910) 319-9955 |
| Full Name | Shoreline Health, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 16150 Us Highway 17 Ste C, Hampstead, North Carolina |
| Authorized Official Name and Position | David Floyd Hoag (PRESIDENT) |
| Authorized Official Contact | 9103199954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Health, PC 16150 Us Highway 17 Ste C Hampstead NC 28443-6302 Ph: (910) 319-9954 | Shoreline Health, PC 16150 Us Highway 17 Ste C Hampstead NC 28443-6302 Ph: (910) 319-9954 |
| NPI Number | 1972153724 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/14/2023 |
| Medicare PECOS PAC ID | 4183054356 |
|---|---|
| Medicare Enrollment ID | O20200707000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972153724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | David F Hoag |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962478081 PECOS PAC ID: 6103714332 Enrollment ID: I20080902000408 |
| Provider Name | Daniel J Lamont |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114974300 PECOS PAC ID: 6103927181 Enrollment ID: I20220920003699 |
| Provider Name | Ellyse Lopez Lamont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326558545 PECOS PAC ID: 1850659293 Enrollment ID: I20240827004458 |
Randy M. Sloan Family Medicine, P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14905 Us Highway 17 N, Hampstead, NC 28443 Phone: 910-270-0997 |
Pelican Family Medicine, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14057 Us Highway 17 N Ste 220, Hampstead, NC 28443 Phone: 910-821-1197 Fax: 910-821-1187 |
William J Mattox MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16150 Us Highway 17 N Ste C, Hampstead, NC 28443 Phone: 910-270-2515 Fax: 910-270-3544 |
Goshen Medical Center - Hampstead Mobile Unit Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16356 Us Highway 17, Hampstead, NC 28443 Phone: 910-285-2330 Fax: 910-320-8429 |
Hampstead Medical Center, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14980 Us Highway 17 N, Hampstead, NC 28443 Phone: 910-270-0282 |
Vital Wellness PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 H20 Pl Ste 4, Hampstead, NC 28443 Phone: 910-410-4928 Fax: 910-996-5831 |