TANGLEWOOD PARK PHYSICIANS, PLLC
NPI 1093286379
Emergency Medicine in Clemmons, NC

Q: What is Tanglewood Park Physicians, PLLC's NPI number?

The NPI number for Tanglewood Park Physicians, PLLC is 1093286379. It was assigned to this organization in the NPPES registry on December 11, 2018.

Q: What is Tanglewood Park Physicians, PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since December 11, 2018

6915 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012(336) 893-1000 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2020, Dec 11, 2018 (2 updates tracked since 2018).

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About Tanglewood Park Physicians, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANGLEWOOD PARK PHYSICIANS, PLLC (NPI 1093286379) is a healthcare organization registered as an emergency medicine in Clemmons, North Carolina and active in the NPI registry since December 2018. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1093286379

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameTANGLEWOOD PARK PHYSICIANS, PLLC

Location Address6915 VILLAGE MEDICAL CIRClemmons, NC 27012-8002

Mailing AddressPo Box 16255Belfast, ME 04915-4057 · (770) 874-5400

Phone(336) 893-1000

Organization SubpartNo

Authorized OfficialKim H LarsenDirector Of Credentialing · (770) 874-5400

Enumeration DateDecember 11, 2018

Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration

✔ NPI 1093286379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

6915 VILLAGE MEDICAL CIR, Clemmons, NC 27012

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE CAUDLE DRAKER NP-C

Nurse Practitioner