| Dr James Leroy Deterding, MD | |
|
1301 Central Dr, Sanford, NC 27330-4159 | |
| (919) 718-9512 | |
| (919) 718-9516 |
| Full Name | Dr James Leroy Deterding |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 1301 Central Dr, Sanford, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396785994 | NPI | - | NPPES |
| 56-1274347 | Other | NC | TAX ID # CAROLINA KIDNEY |
| 28365 | Other | NC | BCBS PROVIDER # |
| 2491 | Other | NC | PARTNERS PROV. # |
| 390004557 | Other | NC | RRM PROVIDER # |
| 3100127 | Other | NC | UHC PROVIDER # |
| 8928365 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 26650 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Ascension St Marys Hospital | Rhinelander, WI | Hospital |
| Ascension Sacred Heart Hospital | Tomahawk, WI | Hospital |
| Ascension St Michaels Hospital | Stevens point, WI | Hospital |
| Ascension Good Samaritan Hospital | Merrill, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Medical Group Inc | 1052223625 | 224 |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Leroy Deterding, MD 5221 Paramount Pkwy Ste 220, Morrisville, NC 27560-5490 Ph: () - | Dr James Leroy Deterding, MD 1301 Central Dr, Sanford, NC 27330-4159 Ph: (919) 718-9512 |
Dr. Chamain Dorothy Austin, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4546 Nc 87 S, Sanford, NC 27332 Phone: 919-499-5151 Fax: 919-499-5147 | |
Dr. Konrad Michael Dziamski, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 110 Fields Dr, Sanford, NC 27330 Phone: 919-777-9005 | |
Gerald Wayne Blake, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1139 Carthage St, Suite 110, Sanford, NC 27330 Phone: 919-774-2195 Fax: 919-776-8131 | |
Dr. Ashwani Sastry, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 821 S Horner Blvd, Sanford, NC 27330 Phone: 919-589-6968 Fax: 919-869-2565 | |
Manish Kanti Saha, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1301 Central Dr, Sanford, NC 27330 Phone: 919-718-9512 Fax: 919-718-9516 | |
Dr. Dawn Marie Stanley, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1413 Greenway Ct, Sanford, NC 27330 Phone: 919-292-1201 Fax: 919-292-1205 | |
Katherine Ann Asadi, D.O. Nephrology Medicare: Medicare Enrolled Practice Location: 4546 Nc 87 S, Sanford, NC 27332 Phone: 919-499-5151 Fax: 919-499-5147 |