Dr James Michael Kidder, MD | |
13 Medical Park Dr, Lexington, NC 27292-6768 | |
(336) 249-4911 | |
(336) 249-1782 |
Full Name | Dr James Michael Kidder |
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Gender | Male |
Speciality | Pediatrics |
Location | 13 Medical Park Dr, Lexington, 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 |
---|---|---|---|
1447432166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2009-01301 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Entity Name | Cityblock Medical Practice, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588296784 PECOS PAC ID: 0840670592 Enrollment ID: O20221228000288 |
Mailing Address | Practice Location Address |
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Dr James Michael Kidder, MD Po Box 602658, Charlotte, NC 28260-2658 Ph: (336) 716-2011 | Dr James Michael Kidder, MD 13 Medical Park Dr, Lexington, NC 27292-6768 Ph: (336) 249-4911 |
Faith Lockett Gardner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13 Medical Park Dr, Lexington, NC 27292 Phone: 336-249-4911 | |
Dr. Meagan Reynolds Wingler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 W Medical Park Dr, Lexington, NC 27292 Phone: 336-249-4911 | |
Dr. Heather Anderson Firebaugh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13 Medical Park Dr, Lexington, NC 27292 Phone: 336-249-4911 Fax: 336-249-1782 | |
Dr. Sarah Kathryn Bolen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8 Medical Park Drive, Pediatrics-lexington, Lexington, NC 27292 Phone: 336-249-4911 | |
Dr. Elizabeth Cherry Reichard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13 Medical Park Dr, Lexington, NC 27292 Phone: 336-249-4911 Fax: 336-249-1782 | |
Sara Daffron, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 W Medical Park Dr, Lexington, NC 27292 Phone: 336-249-4911 |