MIDWAY MEDICAL CENTER, PA - NPI 1699921999 - Family Medicine in Clyde, NC

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Midway Medical Center, Pa NPPES

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

MIDWAY MEDICAL CENTER, PA (NPI 1699921999) is a healthcare organization registered as a family medicine in Clyde, North Carolina and active in the NPI registry since August 2008. The organization holds a CLIA Microscopy certificate valid through February 24, 2027 and lists Mark E Kinter, President, as its authorized official.

NPPES Registry Identity

NPI1699921999

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMIDWAY MEDICAL CENTER, PA

Location Address6750 CAROLINA BLVDClyde, NC 28721-7052

Mailing Address6750 Carolina BlvdClyde, NC 28721-7052 · (828) 627-2211 · Fax (855) 876-9354

Phone(828) 627-2211

Fax(855) 876-9354

Organization SubpartYes

Authorized OfficialMark E KinterPresident · (828) 627-2211

Enumeration DateAugust 18, 2008

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1699921999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 62447

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6750 CAROLINA BLVD, Clyde, NC 28721

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Other Identifiers 3

Other4245150001NC · Medicare Dme

OtherC17128NC · Rr Medicare

Medicaid5900304NC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0247603

Midway Medical Center · Clyde, NC

Active · expires Feb 24, 2027

CLIA Number34D0247603

Laboratory TypePhysician Office

Certificate Effective DateFebruary 25, 2025

Certificate Expiration DateFebruary 24, 2027

Laboratory DirectorMark E. Kinter, MD

Laboratory Phone(828) 627-2211

Laboratory LocationMidway Medical Center6750 Carolina Blvd, Clyde, NC 28721

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

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

DR. SIDNEY NATHAN INDGIN MD

Dermatology