| Timothy Kwiatkowski, MD | |
|
566 Ruin Creek Rd, Emergency Department, Henderson, NC 27536-2927 | |
| (252) 436-1162 | |
| (919) 425-0478 |
| Full Name | Timothy Kwiatkowski |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 566 Ruin Creek Rd, Henderson, 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 |
|---|---|---|---|
| 1689661761 | NPI | - | NPPES |
| 8911908 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9701443 (North Carolina) | Primary |
| Entity Name | The Carolinas Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
| Entity Name | Erx Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20171204001606 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Kwiatkowski, MD 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 Ph: (919) 425-1565 | Timothy Kwiatkowski, MD 566 Ruin Creek Rd, Emergency Department, Henderson, NC 27536-2927 Ph: (252) 436-1162 |
Dr. Abid Shah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1162 | |
Dr. Josphat S. Musapatike, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1162 | |
Dr. Richard Hutchins, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1162 | |
Tyler Gray Levick, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 806-638-5486 | |
Dr. Christopher Rosanova, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 566 Ruin Creek Rd, Emergency Department, Henderson, NC 27536 Phone: 919-425-1565 Fax: 919-425-0478 | |
Dr. Jerome F.x. Naradzay, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 236 Pine Meadow Trl, Henderson, NC 27537 Phone: 252-438-8633 |