| Gooden Mobile Pod Nc Pllc | |
|
311 Mcfadyen Dr, Fayetteville, NC 28314 | |
| (502) 244-2441 | |
| (502) 254-4069 |
| Full Name | Gooden Mobile Pod Nc Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 311 Mcfadyen Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073003752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Milton W Richardson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467413419 PECOS PAC ID: 9638169345 Enrollment ID: I20040514000739 |
| Provider Name | Rhonda Michelle Cartee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730159864 PECOS PAC ID: 7618930553 Enrollment ID: I20041110001235 |
| Provider Name | Colin L Moffett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568411007 PECOS PAC ID: 4486676723 Enrollment ID: I20051229000566 |
| Provider Name | Jason C Zeigler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164530200 PECOS PAC ID: 7517059256 Enrollment ID: I20070824000809 |
| Provider Name | John P Miketa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013138528 PECOS PAC ID: 0345275525 Enrollment ID: I20080401000791 |
| Provider Name | Jenny Lind Hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528141850 PECOS PAC ID: 7012088107 Enrollment ID: I20080617000573 |
| Provider Name | James R Shipley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326195504 PECOS PAC ID: 4183721095 Enrollment ID: I20080915000337 |
| Provider Name | Brian D Futrell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265471890 PECOS PAC ID: 0244132421 Enrollment ID: I20090923000761 |
| Provider Name | Carroll D Kratzer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588667265 PECOS PAC ID: 5193867034 Enrollment ID: I20100115000176 |
| Provider Name | Paul J Keane |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194829838 PECOS PAC ID: 2668408329 Enrollment ID: I20100125000619 |
| Provider Name | James Leroy Edwards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598854895 PECOS PAC ID: 9830232149 Enrollment ID: I20100209000666 |
| Provider Name | Christine R Wright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770544306 PECOS PAC ID: 5890870562 Enrollment ID: I20100222000351 |
| Provider Name | Laura E Durkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831401371 PECOS PAC ID: 1850425489 Enrollment ID: I20100817001490 |
| Provider Name | Paul R Glaser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376595801 PECOS PAC ID: 2163485806 Enrollment ID: I20101216000375 |
| Provider Name | Jack M Sibrizzi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518247881 PECOS PAC ID: 3173796661 Enrollment ID: I20111027000971 |
| Provider Name | Christy Lynn Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346533304 PECOS PAC ID: 6002089513 Enrollment ID: I20111028000227 |
| Provider Name | Eric Simmons |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487815684 PECOS PAC ID: 0749454171 Enrollment ID: I20111122000321 |
| Provider Name | Reginald B Richardson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104083427 PECOS PAC ID: 1658485966 Enrollment ID: I20120213000415 |
| Provider Name | Millicent B Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285863852 PECOS PAC ID: 1456508837 Enrollment ID: I20120821000498 |
| Provider Name | Tori N Simmons Lewis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891007639 PECOS PAC ID: 8426296617 Enrollment ID: I20130529000883 |
| Provider Name | Lana N Nealand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598109902 PECOS PAC ID: 7416196985 Enrollment ID: I20130625000585 |
| Provider Name | Joel Daniel Kelly |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669632881 PECOS PAC ID: 4688866437 Enrollment ID: I20131127001230 |
| Provider Name | Tamika Gooden |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487968780 PECOS PAC ID: 6103053145 Enrollment ID: I20131218001003 |
| Provider Name | Devin Grant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770838187 PECOS PAC ID: 1052628393 Enrollment ID: I20150917002937 |
| Provider Name | Helen D Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902270499 PECOS PAC ID: 0840597332 Enrollment ID: I20160608000001 |
| Provider Name | Zelda Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068320 PECOS PAC ID: 1951676345 Enrollment ID: I20171011001826 |
| Provider Name | Jessica Lynn Wilczek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609236082 PECOS PAC ID: 7911252440 Enrollment ID: I20180625000077 |
| Provider Name | John K Throckmorton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114983723 PECOS PAC ID: 0941207658 Enrollment ID: I20180710002646 |
| Provider Name | Neil Younce |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164833554 PECOS PAC ID: 7315216306 Enrollment ID: I20190911000476 |
| Provider Name | Erin Marie Younce |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174963789 PECOS PAC ID: 6800185281 Enrollment ID: I20191203002219 |
| Provider Name | Emad Youssef |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558747634 PECOS PAC ID: 8325394943 Enrollment ID: I20191219003019 |
| Provider Name | Melissa Gaffney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699968206 PECOS PAC ID: 6507958238 Enrollment ID: I20210202000305 |
| Provider Name | Jatinder Jit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629745153 PECOS PAC ID: 3779972336 Enrollment ID: I20211119002052 |
| Provider Name | Sara Naguib |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891177713 PECOS PAC ID: 1052652880 Enrollment ID: I20220601000124 |
| Provider Name | Brandon Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962909366 PECOS PAC ID: 8729337993 Enrollment ID: I20230906003198 |
| Provider Name | Charles Jonathan Lyerly |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104443100 PECOS PAC ID: 3779947908 Enrollment ID: I20230906004155 |
| Provider Name | Daniel R Wright |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437535267 PECOS PAC ID: 8022380542 Enrollment ID: I20230919003348 |
| Provider Name | Elizabeth Marie Cassandra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942977400 PECOS PAC ID: 5799173993 Enrollment ID: I20231107002570 |
| Mailing Address | Practice Location Address |
|---|---|
| Gooden Mobile Pod Nc Pllc 12910 Shelbyville Rd Ste 300, Louisville, KY 40243-2404 Ph: (502) 244-2441 | Gooden Mobile Pod Nc Pllc 311 Mcfadyen Dr, Fayetteville, NC 28314 Ph: (502) 244-2441 |
Terrill F Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1738 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-4191 Fax: 910-484-5546 | |
Mark T Eaton, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1738 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-4191 Fax: 910-484-5546 | |
Daniel E Laut, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1738 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-4191 Fax: 910-484-5546 | |
Cape Fear Podiatry Associates, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1738 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-4191 Fax: 910-484-5546 | |
Dr. George John Demetri Jr., DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-488-2120 | |
Dr. Denise Crystal Thomas, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1738 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-4191 Fax: 910-484-5546 |