| Cecil Koshey Thoppil, MD | |
|
865 W Lake Dr, Mount Airy, NC 27030-2157 | |
| (336) 719-6100 | |
| (336) 719-2313 |
| Full Name | Cecil Koshey Thoppil |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 865 W Lake Dr, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962463257 | NPI | - | NPPES |
| 8983221 | Medicaid | NC | |
| 1962463257 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35770 (North Carolina) | Primary |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Nh Digital Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074 |
| Mailing Address | Practice Location Address |
|---|---|
| Cecil Koshey Thoppil, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 719-6100 | Cecil Koshey Thoppil, MD 865 W Lake Dr, Mount Airy, NC 27030-2157 Ph: (336) 719-6100 |
Dr. Melinda Sue Darling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-789-6267 Fax: 336-786-4245 | |
Lauren B. Youell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-789-6267 Fax: 336-786-4245 | |
Dr. Linda A Burk, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-789-6267 Fax: 336-786-4245 | |
Teirraha Channel Lowe, Pediatrics Medicare: Medicare Enrolled Practice Location: 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030 Phone: 336-352-4900 Fax: 336-352-4901 | |
Andrew L Robertson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 423 S. South Street, Mount Airy, NC 27030 Phone: 336-789-6267 | |
Jordan Minor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-789-6267 | |
Myriam Andrea Garland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N Pointe Blvd, Mount Airy, NC 27030 Phone: 336-789-6267 Fax: 336-786-3796 |