| Aulander Medical Practice Pa | |
|
114 Hollowell Rd Aulander NC 27805-9634 | |
| (252) 345-3791 | |
| (252) 345-0480 |
| Full Name | Aulander Medical Practice Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 114 Hollowell Rd, Aulander, North Carolina |
| Authorized Official Name and Position | Semaan Y El-khoury (SOLE OWNER) |
| Authorized Official Contact | 2523453791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aulander Medical Practice Pa 136 Linden Dr Suite 104 Winchester VA 22601-6900 Ph: (540) 678-3588 | Aulander Medical Practice Pa 114 Hollowell Rd Aulander NC 27805-9634 Ph: (252) 345-3791 |
| NPI Number | 1437181914 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 02/10/2016 |
| Medicare PECOS PAC ID | 7315982600 |
|---|---|
| Medicare Enrollment ID | O20050627001270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437181914 | NPI | - | NPPES |
| 5900414 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Semaan Y El Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699749333 PECOS PAC ID: 6002711280 Enrollment ID: I20040420001094 |
| Provider Name | Barbara Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437324316 PECOS PAC ID: 1153479522 Enrollment ID: I20100302000912 |
| Provider Name | Tonya B Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346464617 PECOS PAC ID: 0941334015 Enrollment ID: I20100812000137 |
| Provider Name | Ashley Flythe Deloatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841533379 PECOS PAC ID: 9638303415 Enrollment ID: I20131010000171 |
| Provider Name | Laurie Ann Nilsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326599523 PECOS PAC ID: 9335420793 Enrollment ID: I20190417003065 |
| Provider Name | Anne Marie Monte-parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518514025 PECOS PAC ID: 6406280973 Enrollment ID: I20191217001309 |
Roanoke Chowan Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 South Pine Drive, Aulander, NC 27805 Phone: 252-345-0191 Fax: 252-234-5019 |