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 - Nephrology |
Location | 1301 Central Dr, Sanford, 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 |
---|---|---|---|
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 |
Entity Name | University Of North Carolina At Chapel Hill |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
Entity Name | Carolina Kidney Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700831799 PECOS PAC ID: 8628979952 Enrollment ID: O20040119000489 |
Entity Name | Unc Physicians Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
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: Medicare Enrolled 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 | |
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 | |
Dr. Koyal Jain, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1301 Central Dr, Sanford, NC 27330 Phone: 919-718-9512 Fax: 919-718-9516 |