| Maria Parham Primary Care | |
|
568 Ruin Creek Rd Suite 001 Henderson NC 27536-2880 | |
| (252) 438-7102 | |
| (252) 438-7102 |
| Full Name | Maria Parham Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 568 Ruin Creek Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Violet M Harrison (BILLING MANAGER) |
| Authorized Official Contact | 2524361680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Parham Primary Care 120 Charles Rollins Rd Suite 206 Henderson NC 27536-2882 Ph: (252) 436-1680 | Maria Parham Primary Care 568 Ruin Creek Rd Suite 001 Henderson NC 27536-2880 Ph: (252) 438-7102 |
| NPI Number | 1215273628 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/18/2012 |
| Medicare PECOS PAC ID | 7719153683 |
|---|---|
| Medicare Enrollment ID | O20111222000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215273628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John P Cuellar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639134422 PECOS PAC ID: 9830094176 Enrollment ID: I20031201000460 |
| Provider Name | Beth Hays Lindsay |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316033616 PECOS PAC ID: 9234034570 Enrollment ID: I20031201000486 |
| Provider Name | Beverly N Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801851506 PECOS PAC ID: 1052218229 Enrollment ID: I20031216000436 |
| Provider Name | Estena P Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225009996 PECOS PAC ID: 7810882909 Enrollment ID: I20040218000143 |
| Provider Name | Manesh R Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487696365 PECOS PAC ID: 6709871460 Enrollment ID: I20040420000995 |
| Provider Name | Sydney G Short |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053411165 PECOS PAC ID: 5395722573 Enrollment ID: I20040706000840 |
| Provider Name | Christopher G Willett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770679144 PECOS PAC ID: 2264410075 Enrollment ID: I20040708001407 |
| Provider Name | Nicole A Larrier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730275819 PECOS PAC ID: 4981679453 Enrollment ID: I20040827001093 |
| Provider Name | John P Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932295227 PECOS PAC ID: 5496720393 Enrollment ID: I20040901001140 |
| Provider Name | Adrian Mahendra Ogle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518058577 PECOS PAC ID: 3476514415 Enrollment ID: I20041022000366 |
| Provider Name | Kirit D Trivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144321530 PECOS PAC ID: 8921069576 Enrollment ID: I20041026000862 |
| Provider Name | Linda M Sutton |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1366409575 PECOS PAC ID: 0446203533 Enrollment ID: I20050301000667 |
| Provider Name | Thomas Giebmanns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972656494 PECOS PAC ID: 7012946221 Enrollment ID: I20050812001021 |
| Provider Name | William S Jones |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366456063 PECOS PAC ID: 7113959727 Enrollment ID: I20050902000738 |
| Provider Name | Diane S Varnadore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518942119 PECOS PAC ID: 8224063987 Enrollment ID: I20050930000450 |
| Provider Name | Mark Anthony Dubinski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740279975 PECOS PAC ID: 6103851860 Enrollment ID: I20051003000044 |
| Provider Name | Patricia Anne Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225098908 PECOS PAC ID: 5597780411 Enrollment ID: I20051011000082 |
| Provider Name | Tariq Abo-kamil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124077664 PECOS PAC ID: 4486670205 Enrollment ID: I20051020001056 |
| Provider Name | Kulbir Sidhu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912946070 PECOS PAC ID: 2961468558 Enrollment ID: I20060123000986 |
| Provider Name | Janice A Martinez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811968597 PECOS PAC ID: 1850307588 Enrollment ID: I20060303000499 |
| Provider Name | Cindy Tuten |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356449789 PECOS PAC ID: 3476509332 Enrollment ID: I20060324000216 |
| Provider Name | James W Hampton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508845801 PECOS PAC ID: 4284643487 Enrollment ID: I20060815000159 |
| Provider Name | Raul Nelson Lugo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801866322 PECOS PAC ID: 7911995857 Enrollment ID: I20060928000205 |
| Provider Name | Janet K Horton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003845603 PECOS PAC ID: 9739180027 Enrollment ID: I20070130000259 |
| Provider Name | Joel S Goodwin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659454437 PECOS PAC ID: 4082706304 Enrollment ID: I20070816000363 |
| Provider Name | Christopher R Kelsey |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164552865 PECOS PAC ID: 1759473507 Enrollment ID: I20070823000968 |
| Provider Name | Ivy P Altomare |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609063254 PECOS PAC ID: 9537254636 Enrollment ID: I20071004000464 |
| Provider Name | Mamun Shahrier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881685428 PECOS PAC ID: 3779672647 Enrollment ID: I20071129000358 |
| Provider Name | Hernan John Jimenez-medina |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285630301 PECOS PAC ID: 1759461924 Enrollment ID: I20071231000503 |
| Provider Name | Rafael E Negron-medina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760586150 PECOS PAC ID: 4082793492 Enrollment ID: I20080509000088 |
| Provider Name | Gary Anthony Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528271848 PECOS PAC ID: 7315013984 Enrollment ID: I20080904000619 |
| Provider Name | John J Faulkner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023295185 PECOS PAC ID: 8123196821 Enrollment ID: I20081008000315 |
| Provider Name | Birger Steven Bentsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366517153 PECOS PAC ID: 8022186725 Enrollment ID: I20081015000103 |
| Provider Name | David A Mack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396966818 PECOS PAC ID: 5395844815 Enrollment ID: I20081115000026 |
| Provider Name | Junzo P Chino |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316138548 PECOS PAC ID: 5092865733 Enrollment ID: I20090618000120 |
| Provider Name | David Yoo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598939019 PECOS PAC ID: 4981755436 Enrollment ID: I20090624000299 |
| Provider Name | Manpreet S Bhutani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245412758 PECOS PAC ID: 4385781889 Enrollment ID: I20091102000027 |
| Provider Name | David M Brizel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720173560 PECOS PAC ID: 1658410030 Enrollment ID: I20091124000296 |
| Provider Name | Mitchell A Mah'moud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699769257 PECOS PAC ID: 0244379535 Enrollment ID: I20091130000036 |
| Provider Name | Brian G Czito |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336234012 PECOS PAC ID: 2466448469 Enrollment ID: I20091214000383 |
| Provider Name | Carol Anne Hahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982799698 PECOS PAC ID: 4789725045 Enrollment ID: I20100108000238 |
| Provider Name | Richard Sommerville Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376503458 PECOS PAC ID: 7315080264 Enrollment ID: I20100201000683 |
| Provider Name | Catherine Lee Chang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487731949 PECOS PAC ID: 5890724793 Enrollment ID: I20100419000720 |
| Provider Name | Rachel C Blitzblau |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659554897 PECOS PAC ID: 5395875066 Enrollment ID: I20100608000217 |
| Provider Name | Jorge Antonio Tirado Gutierrez |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669630968 PECOS PAC ID: 5193856060 Enrollment ID: I20100622000508 |
| Provider Name | Robert F Noel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548343320 PECOS PAC ID: 9436281680 Enrollment ID: I20100723000159 |
| Provider Name | Lynn M Scallion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619051596 PECOS PAC ID: 1052444973 Enrollment ID: I20100729000350 |
| Provider Name | Margaret A Hassett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902866916 PECOS PAC ID: 6608990924 Enrollment ID: I20100824000222 |
| Provider Name | Cynthia K Robinson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972686756 PECOS PAC ID: 6002931193 Enrollment ID: I20100913000901 |
| Provider Name | Monique Anderson Starks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053468918 PECOS PAC ID: 3870764046 Enrollment ID: I20110920000085 |
| Provider Name | Augustus Oliver Grant |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497839302 PECOS PAC ID: 1759556541 Enrollment ID: I20111206000450 |
| Provider Name | Julie Farrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447243142 PECOS PAC ID: 2365513926 Enrollment ID: I20120717000036 |
| Provider Name | Immacula Saint Louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356449144 PECOS PAC ID: 9234104506 Enrollment ID: I20120730000643 |
| Provider Name | Manisha Palta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487855664 PECOS PAC ID: 3476701988 Enrollment ID: I20120906000926 |
| Provider Name | Laksmikanth Chinappa Nagappa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649488693 PECOS PAC ID: 8426215088 Enrollment ID: I20121108000168 |
| Provider Name | Veeraindar Goli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295819993 PECOS PAC ID: 2062408016 Enrollment ID: I20121115000594 |
| Provider Name | Lucy W Menefee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669720819 PECOS PAC ID: 6002067139 Enrollment ID: I20121119000162 |
| Provider Name | Nathan Christopher Sheets |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477788263 PECOS PAC ID: 5193963882 Enrollment ID: I20130610000055 |
| Provider Name | Robert W Harrison |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457547853 PECOS PAC ID: 3971653270 Enrollment ID: I20130627000844 |
| Provider Name | Syreeta Alston Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427285691 PECOS PAC ID: 0749421154 Enrollment ID: I20130729000096 |
| Provider Name | Kavitha Subramanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174661110 PECOS PAC ID: 0446354450 Enrollment ID: I20140117001464 |
| Provider Name | Tonya Fisher Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245575539 PECOS PAC ID: 3375775372 Enrollment ID: I20140404001523 |
| Provider Name | Michael J Sylvia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215197330 PECOS PAC ID: 5294950564 Enrollment ID: I20140628000132 |
| Provider Name | Karen M Maclean |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841559432 PECOS PAC ID: 3375760762 Enrollment ID: I20140807002329 |
| Provider Name | Radhakrishnan Ramaraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205009891 PECOS PAC ID: 5294903241 Enrollment ID: I20140908001033 |
| Provider Name | Krishna R Bhaghayath |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619071065 PECOS PAC ID: 8527097781 Enrollment ID: I20140917000441 |
| Provider Name | Lisardo F Augustin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437233780 PECOS PAC ID: 1658591870 Enrollment ID: I20141009001837 |
| Provider Name | John Conrad Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235538836 PECOS PAC ID: 7911221353 Enrollment ID: I20150113002055 |
| Provider Name | Padma R Kamineni |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275575615 PECOS PAC ID: 4688691439 Enrollment ID: I20150210001950 |
| Provider Name | Santa Bartholomew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316925787 PECOS PAC ID: 6103831557 Enrollment ID: I20150317001396 |
| Provider Name | Stephanie J Brogden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578524724 PECOS PAC ID: 5799757746 Enrollment ID: I20150911002493 |
| Provider Name | Jessica Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205204583 PECOS PAC ID: 9335458157 Enrollment ID: I20151019001241 |
| Provider Name | Monique L Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972972719 PECOS PAC ID: 7719296144 Enrollment ID: I20151026000197 |
| Provider Name | Oussama Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952692857 PECOS PAC ID: 2163732900 Enrollment ID: I20151107000185 |
| Provider Name | Douglas Tice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942314620 PECOS PAC ID: 0749240844 Enrollment ID: I20151109000103 |
| Provider Name | Terri Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306217450 PECOS PAC ID: 7113220534 Enrollment ID: I20160119001911 |
| Provider Name | Donette Weltansieht Vicente |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700063062 PECOS PAC ID: 9436214491 Enrollment ID: I20160404001397 |
| Provider Name | Jennifer Rymer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134410566 PECOS PAC ID: 2961792510 Enrollment ID: I20160609001901 |
| Provider Name | Jordan A Torok |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629369582 PECOS PAC ID: 1759673221 Enrollment ID: I20160705000508 |
| Provider Name | Kondal Rao Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20160718001619 |
| Provider Name | Amy Dixon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922456920 PECOS PAC ID: 8527353689 Enrollment ID: I20160829001160 |
| Provider Name | Rajesh Viswanathan Swaminathan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386759066 PECOS PAC ID: 6800966763 Enrollment ID: I20160907002083 |
| Provider Name | Devinderpal Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225072648 PECOS PAC ID: 8325045792 Enrollment ID: I20161107000001 |
| Provider Name | Stacie Renee Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942757034 PECOS PAC ID: 2769761568 Enrollment ID: I20161118001323 |
| Provider Name | Gita Suneja |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902068588 PECOS PAC ID: 5496995540 Enrollment ID: I20161215001152 |
| Provider Name | Hector Manuel Cabeza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790942688 PECOS PAC ID: 1456544774 Enrollment ID: I20170206001703 |
| Provider Name | Kristin Timpy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396299939 PECOS PAC ID: 2466737473 Enrollment ID: I20170314000003 |
| Provider Name | Brooktiete Asseres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063732055 PECOS PAC ID: 2668758665 Enrollment ID: I20170405001601 |
| Provider Name | Hui Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710237185 PECOS PAC ID: 6103193552 Enrollment ID: I20170606002282 |
| Provider Name | Talitha Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336401900 PECOS PAC ID: 9234408808 Enrollment ID: I20170713001235 |
| Provider Name | Iris L Vance |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891061131 PECOS PAC ID: 2860763679 Enrollment ID: I20170811001439 |
| Provider Name | Melissa Dean-appasu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174910152 PECOS PAC ID: 3476855594 Enrollment ID: I20170927003543 |
| Provider Name | Kristie White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467854828 PECOS PAC ID: 9931321437 Enrollment ID: I20171019000538 |
| Provider Name | Aidevo Sandra Igbide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093226649 PECOS PAC ID: 9335407840 Enrollment ID: I20171211000552 |
| Provider Name | Sirisha Perumandla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700891454 PECOS PAC ID: 1759386121 Enrollment ID: I20180124003125 |
| Provider Name | Latorya D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720593908 PECOS PAC ID: 2163785387 Enrollment ID: I20180420000823 |
| Provider Name | April Dawn Wray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962603910 PECOS PAC ID: 8729232772 Enrollment ID: I20180720002109 |
| Provider Name | Ashley Gentile Traversa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760987259 PECOS PAC ID: 3476802018 Enrollment ID: I20180815002348 |
| Provider Name | Daniel H Laury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508846932 PECOS PAC ID: 9537329057 Enrollment ID: I20181017000550 |
| Provider Name | Varnita Tahiliani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598022733 PECOS PAC ID: 3173876141 Enrollment ID: I20181022003347 |
| Provider Name | Atulkumar D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033292685 PECOS PAC ID: 4789750332 Enrollment ID: I20181024001504 |
| Provider Name | Darius D Divina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366544843 PECOS PAC ID: 3678521879 Enrollment ID: I20181204000354 |
| Provider Name | Jimmena Kamil Huffman Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518438969 PECOS PAC ID: 8820338098 Enrollment ID: I20190326001070 |
| Provider Name | Farooq Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396772117 PECOS PAC ID: 6507828787 Enrollment ID: I20190515002789 |
| Provider Name | Samantha Patterson Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861958522 PECOS PAC ID: 5496088635 Enrollment ID: I20190603003172 |
| Provider Name | Mohammed W Akhter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740485390 PECOS PAC ID: 8921143959 Enrollment ID: I20190828004198 |
| Provider Name | Ian Luke Bryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639525231 PECOS PAC ID: 9931491727 Enrollment ID: I20190930000739 |
| Provider Name | Emma Louise White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861878324 PECOS PAC ID: 9931531225 Enrollment ID: I20191106002883 |
| Provider Name | Joshua James Siglin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275768731 PECOS PAC ID: 5496978652 Enrollment ID: I20191111002707 |
| Provider Name | Colin E Champ |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003138868 PECOS PAC ID: 6002056777 Enrollment ID: I20191116000272 |
| Provider Name | Madeera Kathpal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114150612 PECOS PAC ID: 7719274240 Enrollment ID: I20191226002287 |
| Provider Name | Michael L Edelson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568498582 PECOS PAC ID: 9436220266 Enrollment ID: I20200224000721 |
| Provider Name | Crystal Lynnette Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750927893 PECOS PAC ID: 7416386248 Enrollment ID: I20200331000527 |
| Provider Name | Brandi M Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285266833 PECOS PAC ID: 0547690638 Enrollment ID: I20200413001961 |
| Provider Name | Ebtihal Ahmed Mohamed Ahmed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235653452 PECOS PAC ID: 0648601393 Enrollment ID: I20200512003658 |
| Provider Name | Leonard E Marotta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861476772 PECOS PAC ID: 1850292780 Enrollment ID: I20200513003044 |
| Provider Name | Se Hyang Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669016556 PECOS PAC ID: 2567883812 Enrollment ID: I20200522001089 |
| Provider Name | Kayla J Cagle-colon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134582034 PECOS PAC ID: 8921345976 Enrollment ID: I20200723001334 |
| Provider Name | Corie L Kovach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821074741 PECOS PAC ID: 9830104199 Enrollment ID: I20200921002517 |
| Provider Name | Alyson Ann Ringle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285282947 PECOS PAC ID: 7618396094 Enrollment ID: I20201005001161 |
| Provider Name | Michael Courtney Windham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861697740 PECOS PAC ID: 2668668393 Enrollment ID: I20201110002803 |
| Provider Name | Neil P Dolan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073542890 PECOS PAC ID: 1254332950 Enrollment ID: I20210122001022 |
| Provider Name | Richard J Straker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639156300 PECOS PAC ID: 9032180146 Enrollment ID: I20210125002016 |
| Provider Name | Madhu Chaudhry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447201678 PECOS PAC ID: 5890836803 Enrollment ID: I20210330001899 |
| Provider Name | Melanie Nicole Allard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457937401 PECOS PAC ID: 8729497110 Enrollment ID: I20210517000146 |
| Provider Name | James Leonard Pinto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780898858 PECOS PAC ID: 8527123454 Enrollment ID: I20210518001313 |
| Provider Name | Michaela E Beynon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881117075 PECOS PAC ID: 8921408089 Enrollment ID: I20210610001526 |
| Provider Name | Cheryl Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205424660 PECOS PAC ID: 2769883867 Enrollment ID: I20210628000534 |
| Provider Name | Sadashivaiah Bhaskar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417002098 PECOS PAC ID: 8224279013 Enrollment ID: I20210812003810 |
| Provider Name | Tabitha Floyd Schilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720657729 PECOS PAC ID: 1557765435 Enrollment ID: I20210816000260 |
| Provider Name | Nicki R Downes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598147217 PECOS PAC ID: 3971800772 Enrollment ID: I20210909001694 |
| Provider Name | Natalia Ferrari Gabilondo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780848838 PECOS PAC ID: 9638301930 Enrollment ID: I20211208003487 |
| Provider Name | Bani'ci' N Townsend-harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944844 PECOS PAC ID: 8123412749 Enrollment ID: I20220224002504 |
| Provider Name | Kermit Brion Brunelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477529006 PECOS PAC ID: 3476872763 Enrollment ID: I20220303002620 |
| Provider Name | Mark L Messmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508209073 PECOS PAC ID: 7315255312 Enrollment ID: I20220324001242 |
| Provider Name | Jorge Velez Fournier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326572157 PECOS PAC ID: 6002150257 Enrollment ID: I20220409000253 |
| Provider Name | Chantell Albert Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740710011 PECOS PAC ID: 2062809783 Enrollment ID: I20220428000162 |
| Provider Name | Colleen M Truax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952059347 PECOS PAC ID: 3375926280 Enrollment ID: I20220810000517 |
| Provider Name | Andrea Iyekepolo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285084426 PECOS PAC ID: 5193011377 Enrollment ID: I20220825002538 |
| Provider Name | Gina Wynne Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033855473 PECOS PAC ID: 2365818457 Enrollment ID: I20221013003527 |
| Provider Name | Lauren Elizabeth Mcdowell-jacobs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801836424 PECOS PAC ID: 4587619705 Enrollment ID: I20221031002151 |
| Provider Name | Nkem Ogochukwu Nkwonta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629706577 PECOS PAC ID: 7113394727 Enrollment ID: I20221110000261 |
| Provider Name | Crystal Young Kaplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584206 PECOS PAC ID: 1153653134 Enrollment ID: I20221116000381 |
| Provider Name | Elizabeth Dinkins Carr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164148573 PECOS PAC ID: 6103295993 Enrollment ID: I20221219000973 |
| Provider Name | Ragan Layne Spinks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285344432 PECOS PAC ID: 6406227883 Enrollment ID: I20230123000825 |
| Provider Name | Sofronia Tomora Germany |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851647747 PECOS PAC ID: 2062883473 Enrollment ID: I20230123002249 |
| Provider Name | Jennifer Lynn Stockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881383636 PECOS PAC ID: 2365803228 Enrollment ID: I20230725004171 |
| Provider Name | Yamicia Doyasi Connor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639529464 PECOS PAC ID: 2860788668 Enrollment ID: I20230727001282 |
| Provider Name | Marion Koso-thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467674937 PECOS PAC ID: 1850556770 Enrollment ID: I20230816002172 |
| Provider Name | Jonathan Tran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104280155 PECOS PAC ID: 9739544404 Enrollment ID: I20230828001432 |
| Provider Name | Kimberley Farmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326008400 PECOS PAC ID: 9830182096 Enrollment ID: I20230830002951 |
| Provider Name | Danielle Kwakye Berko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821060583 PECOS PAC ID: 8729035340 Enrollment ID: I20230913001402 |
| Provider Name | Samantha Carole Pernell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104515162 PECOS PAC ID: 9739535006 Enrollment ID: I20231023001412 |
| Provider Name | Fareed Z Kadum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760495840 PECOS PAC ID: 4688677149 Enrollment ID: I20231116000263 |
| Provider Name | Cierrea Rashonda Roach-gerald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235572801 PECOS PAC ID: 0547685307 Enrollment ID: I20231212004195 |
| Provider Name | Regina Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639464811 PECOS PAC ID: 9931458353 Enrollment ID: I20240119002506 |
| Provider Name | Nita W Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568447837 PECOS PAC ID: 5698969905 Enrollment ID: I20240305001379 |
| Provider Name | John W Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013379734 PECOS PAC ID: 3577996222 Enrollment ID: I20240306001059 |
North Carolina Inpatient Medicine Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1352 Fax: 252-436-1351 | |
Henderson Pulmonary & Sleep Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 568 Ruin Creek Rd Ste 127, Henderson, NC 27536 Phone: 252-430-7110 | |
Rural Health Group At Henderson Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 W Parkview Dr, Henderson, NC 27536 Phone: 252-536-5791 Fax: 252-536-5444 | |
Carolina Gi Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 Charles D Rollins Rd, Suite 201, Henderson, NC 27536 Phone: 252-430-8111 Fax: 252-430-1804 | |
Maria Parham Wound Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1700 | |
Medical Careers Readiness Of North Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Dabney Dr Ste B, Henderson, NC 27536 Phone: 757-739-7414 | |
Kirit D Trivedi Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 568 Ruin Creek Road, Suite 001, Henderson, NC 27536 Phone: 252-438-7102 Fax: 252-438-7102 |