| John Allen Wareham, MD | |
|
300 W 27th St, Lumberton, NC 28358-3075 | |
| (910) 671-5000 | |
| Not Available |
| Full Name | John Allen Wareham |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 300 W 27th St, Lumberton, 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 |
|---|---|---|---|
| 1346345675 | NPI | - | NPPES |
| 100217930 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01041622 (Indiana) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 2015-01017 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| John Allen Wareham, MD 8081 Township Line Rd Ste 203, Indianapolis, IN 46260-2189 Ph: () - | John Allen Wareham, MD 300 W 27th St, Lumberton, NC 28358-3075 Ph: (910) 671-5000 |
Nicala Noell Brooks, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Liberty Hill Rd, Lumberton, NC 28358 Phone: 910-739-3318 | |
Gauri Rahul Dalvi, M.D., PH.D Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Liberty Hill Rd, Lumberton, NC 28358 Phone: 910-739-3318 Fax: 910-671-3600 | |
Mrs. Adrian Deese, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Liberty Hill Rd, Lumberton, NC 28358 Phone: 910-738-8060 | |
Dr. Robert Rhea Earnest, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 Country Club Rd, Lumberton, NC 28360 Phone: 910-608-2100 Fax: 910-608-2102 | |
Archana Vijaya Chander, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 Liberty Hill Rd, Lumberton, NC 28358 Phone: 910-739-3318 | |
Dr. Cauveh Erami, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Clyborn Church Rd, Lumberton, NC 28360 Phone: 919-739-9160 |