Ivan David, MD | |
1912 Tradd Court, Wilmington, NC 28401-6637 | |
(910) 251-3766 | |
(910) 251-3760 |
Full Name | Ivan David |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 1912 Tradd Court, Wilmington, 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 |
---|---|---|---|
1386669471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 33495 (North Carolina) | Primary |
Entity Name | Novant Health New Hanover Regional Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750978839 PECOS PAC ID: 7113330168 Enrollment ID: O20210112000621 |
Entity Name | Novant Health Medical Group Coastal Region Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
Mailing Address | Practice Location Address |
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Ivan David, MD 1912 Tradd Ct, Wilmington, NC 28401-6637 Ph: (910) 251-3766 | Ivan David, MD 1912 Tradd Court, Wilmington, NC 28401-6637 Ph: (910) 251-3766 |
Howard F. Marks Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1912 Tradd Ct, Wilmington, NC 28401 Phone: 910-251-3766 Fax: 910-251-3760 | |
Peter Kane, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1912 Tradd Ct, Wilmington, NC 28401 Phone: 910-251-3766 Fax: 910-251-3760 |