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WILMINGTON INTERNAL MEDICINE PA
NPI 1639201056
Internal Medicine in Wilmington, NC

Active since March 12, 2007CLIA 34D0245660 · Waiver
2215 CANTERWOOD DR, WILMINGTON, NC 28401(910) 762-4600(910) 762-9483 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilmington Internal Medicine Pa NPPES

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

WILMINGTON INTERNAL MEDICINE PA (NPI 1639201056) is a healthcare organization registered as an internal medicine in Wilmington, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Wendy Michelle Young, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1639201056
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWILMINGTON INTERNAL MEDICINE PA
Location Address2215 CANTERWOOD DRWilmington, NC 28401-7301
Mailing Address2215 Canterwood DrWilmington, NC 28401-7301 · (910) 762-4600 · Fax (910) 762-9483
Phone(910) 762-4600
Fax(910) 762-9483
Organization SubpartNo
Authorized OfficialWendy Michelle YoungPractice Manager · (910) 762-4600
Enumeration DateMarch 12, 2007
Last NPPES UpdateDecember 27, 2012
✔ NPI 1639201056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 85716
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2215 CANTERWOOD DR, Wilmington, NC 28401
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Other Identifiers 4

Other0176CNC · Blue Cross Provider #
Medicare ID-Type Unspecified2344407NC · Provider Number
Medicaid7978365NC
Medicare PIN2344407NC

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0245660

Wilmington Internal Medicine, PA · Wilmington, NC
Active · expires Jun 6, 2027
CLIA Number34D0245660
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorFrank A. Snyder
Laboratory Phone(910) 762-4600
Laboratory LocationWilmington Internal Medicine, PA2215 Canterwood Drive, Wilmington, NC 28401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MICHAEL MUNDY WARD MD
Family Medicine
2215 CANTERWOOD DR
WILMINGTON, NC 28401
New Hanover County (910) 762-4600
KIMBERLY J SALENE M.D.
Internal Medicine
2215 CANTERWOOD DR
WILMINGTON, NC 28401
New Hanover County (910) 762-4600
DR. ANDRE GUALBERTO SARMIENTO MD
Internal Medicine
2215 CANTERWOOD DR
WILMINGTON, NC 28401
New Hanover County (910) 762-4600
RDMG ASSOCIATES, PA
Internal Medicine
2215 CANTERWOOD DR
WILMINGTON, NC 28401
New Hanover County (910) 762-4600
RALEIGH DURHAM MEDICAL GROUP PA
Internal Medicine
2215 CANTERWOOD DR
WILMINGTON, NC 28401
New Hanover County (910) 762-4600
ALLIANCE INTERNAL MEDICINE, PLLC
Clinic/Center (Primary Care)
2215 CANTERWOOD DR
WILMINGTON, NC 28401
New Hanover County (910) 762-4600
IAN FOXALL. M.D
Internal Medicine
2215 CANTERWOOD DR
WILMINGTON, NC 28401
New Hanover County (910) 762-4600
DR. FRANK ALAN SNYDER MD
Internal Medicine
2215 CANTERWOOD DR
WILMINGTON, NC 28401
New Hanover County (910) 762-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilmington Internal Medicine PA's NPI number?

The NPI number for Wilmington Internal Medicine PA is 1639201056. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Wilmington Internal Medicine PA located?

Wilmington Internal Medicine PA is located at 2215 Canterwood Dr, Wilmington, NC 28401. The listed phone number is (910) 762-4600.

What is Wilmington Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wilmington Internal Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0245660) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wilmington Internal Medicine PA was last updated on December 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.