| Firsthealth Montgomery Memorial Hospital - Family Care Center - Troy | |
|
522 Allen St Suite 101 Troy NC 27371-2861 | |
| (910) 571-5510 | |
| (910) 571-5539 |
| Full Name | Firsthealth Montgomery Memorial Hospital - Family Care Center - Troy |
|---|---|
| Speciality | Clinic/Center |
| Location | 522 Allen St, Troy, North Carolina |
| Authorized Official Name and Position | Lynn S Dejaco (CFO) |
| Authorized Official Contact | 9107151913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firsthealth Montgomery Memorial Hospital - Family Care Center - Troy 522 Allen St Troy NC 27371-2861 Ph: (910) 571-5510 | Firsthealth Montgomery Memorial Hospital - Family Care Center - Troy 522 Allen St Suite 101 Troy NC 27371-2861 Ph: (910) 571-5510 |
| NPI Number | 1548276389 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 07/05/2012 |
| Medicare PECOS PAC ID | 8820909377 |
|---|---|
| Medicare Enrollment ID | O20031108000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548276389 | NPI | - | NPPES |
| 343431A RURAL HEALTH | Medicaid | NC | |
| 0296M | Other | NC | BCBS GROUP # |
| 89296M | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200401306 (North Carolina) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (North Carolina) | Primary |
| Provider Name | Mary T Mandell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891739470 PECOS PAC ID: 3173418761 Enrollment ID: I20040223000052 |
| Provider Name | Bryan B Barnes |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548281363 PECOS PAC ID: 4981680204 Enrollment ID: I20040628000654 |
| Provider Name | Thomas C Wall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528018314 PECOS PAC ID: 0547249799 Enrollment ID: I20040720000497 |
| Provider Name | Saul A Salvador |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275580219 PECOS PAC ID: 6507765013 Enrollment ID: I20040727001569 |
| Provider Name | Jolena Beth Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518018688 PECOS PAC ID: 5597736603 Enrollment ID: I20040803000850 |
| Provider Name | Jaspaul S Jawanda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174579726 PECOS PAC ID: 6709850449 Enrollment ID: I20040819001354 |
| Provider Name | Akaninyene Sunday Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952358061 PECOS PAC ID: 9537120381 Enrollment ID: I20041025000533 |
| Provider Name | Sandeep R Pandit |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194743716 PECOS PAC ID: 2264493295 Enrollment ID: I20041026000777 |
| Provider Name | Crystal M Coen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720053143 PECOS PAC ID: 1951352012 Enrollment ID: I20050207000064 |
| Provider Name | Daniel Ray Barnes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417921016 PECOS PAC ID: 8022069079 Enrollment ID: I20050207000812 |
| Provider Name | Nancy C Chescheir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093802191 PECOS PAC ID: 5294786042 Enrollment ID: I20050330000579 |
| Provider Name | Scott J Denardo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255371605 PECOS PAC ID: 8325086994 Enrollment ID: I20050422001198 |
| Provider Name | Robert Lacin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477523082 PECOS PAC ID: 0042242273 Enrollment ID: I20050912000097 |
| Provider Name | Ellen M Willard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669417820 PECOS PAC ID: 1951320753 Enrollment ID: I20051121000870 |
| Provider Name | Susan Bazinet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134150345 PECOS PAC ID: 2961300389 Enrollment ID: I20051123000046 |
| Provider Name | Gary G Gammon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427044163 PECOS PAC ID: 7517988181 Enrollment ID: I20051209000734 |
| Provider Name | Lorin E Guillory Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538152525 PECOS PAC ID: 9234151929 Enrollment ID: I20051221001009 |
| Provider Name | Crystal P Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669490884 PECOS PAC ID: 3375550304 Enrollment ID: I20060315000498 |
| Provider Name | Mark F Medford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033159041 PECOS PAC ID: 7214947324 Enrollment ID: I20060503000284 |
| Provider Name | Robert A Pohlmeyer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396782702 PECOS PAC ID: 5395757058 Enrollment ID: I20060620000166 |
| Provider Name | Erin Louise Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962470823 PECOS PAC ID: 4284647645 Enrollment ID: I20060801000352 |
| Provider Name | Kaushik Sen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730110669 PECOS PAC ID: 5092714238 Enrollment ID: I20061215000260 |
| Provider Name | Eric R Frizzell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144284803 PECOS PAC ID: 7416957261 Enrollment ID: I20070102000157 |
| Provider Name | Matthew B Holler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467445429 PECOS PAC ID: 1759383995 Enrollment ID: I20070201000082 |
| Provider Name | Valerie J Beltrane-preston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629093307 PECOS PAC ID: 6406858331 Enrollment ID: I20070206000579 |
| Provider Name | Steven J Filby |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093827206 PECOS PAC ID: 5395848642 Enrollment ID: I20070307000394 |
| Provider Name | John M Kerr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356325856 PECOS PAC ID: 1951349596 Enrollment ID: I20070313000431 |
| Provider Name | Suzanne Lee Wilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619996121 PECOS PAC ID: 8426154808 Enrollment ID: I20070501000406 |
| Provider Name | Victor B Farrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184713364 PECOS PAC ID: 4688765811 Enrollment ID: I20070802000308 |
| Provider Name | John E. Flannery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134164197 PECOS PAC ID: 1153410626 Enrollment ID: I20071205000735 |
| Provider Name | James W John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588628549 PECOS PAC ID: 1153411475 Enrollment ID: I20071226000175 |
| Provider Name | Chrystal F Eller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487797114 PECOS PAC ID: 0840374500 Enrollment ID: I20080220000246 |
| Provider Name | Dorothy Margaret Mixa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912968249 PECOS PAC ID: 1759300601 Enrollment ID: I20080402000439 |
| Provider Name | Joseph G Gibbons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134173933 PECOS PAC ID: 9133162688 Enrollment ID: I20080416000665 |
| Provider Name | Veshana Sinthal Ramiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043377591 PECOS PAC ID: 1951494889 Enrollment ID: I20080710000202 |
| Provider Name | Alison M Stuebe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730164666 PECOS PAC ID: 9133165566 Enrollment ID: I20080712000074 |
| Provider Name | Aaron Gavett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124229703 PECOS PAC ID: 6204909500 Enrollment ID: I20080721000032 |
| Provider Name | Peter C Mancusi Ungaro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568455871 PECOS PAC ID: 1557434669 Enrollment ID: I20080723000442 |
| Provider Name | Bruce P Jaufmann |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225134109 PECOS PAC ID: 5799852422 Enrollment ID: I20080923000258 |
| Provider Name | Thomas S Ivester |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144318569 PECOS PAC ID: 6800953571 Enrollment ID: I20090324000597 |
| Provider Name | Todd Moore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225014178 PECOS PAC ID: 1153425244 Enrollment ID: I20090511000580 |
| Provider Name | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20090520000460 |
| Provider Name | Gretchen S Arnoczy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326264839 PECOS PAC ID: 4385793975 Enrollment ID: I20090602000119 |
| Provider Name | Charles Kuzma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063469856 PECOS PAC ID: 8527073857 Enrollment ID: I20090624000753 |
| Provider Name | William L Harris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427238831 PECOS PAC ID: 5890848246 Enrollment ID: I20090731000599 |
| Provider Name | Valerie Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194769893 PECOS PAC ID: 1850341116 Enrollment ID: I20090822000121 |
| Provider Name | Van Slaughter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285827451 PECOS PAC ID: 2961557525 Enrollment ID: I20090902000687 |
| Provider Name | Olujide G Lawal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174561187 PECOS PAC ID: 8426020348 Enrollment ID: I20091015000490 |
| Provider Name | Henry Tellez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861560401 PECOS PAC ID: 8527100890 Enrollment ID: I20100125000603 |
| Provider Name | Giridhar Chintalapudi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275601833 PECOS PAC ID: 2668461880 Enrollment ID: I20100201000466 |
| Provider Name | Jenifir J Bruno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255370045 PECOS PAC ID: 5395871032 Enrollment ID: I20100331001293 |
| Provider Name | Kim Ann Boggess |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689762072 PECOS PAC ID: 3971630245 Enrollment ID: I20100416000749 |
| Provider Name | Robert Allen Strauss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316035694 PECOS PAC ID: 9234266412 Enrollment ID: I20100420000407 |
| Provider Name | John P Shoffeitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831397702 PECOS PAC ID: 9436280807 Enrollment ID: I20100629000213 |
| Provider Name | Matthew J Karpenko |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912118647 PECOS PAC ID: 3476614835 Enrollment ID: I20100828000031 |
| Provider Name | Clinton E Massey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700831914 PECOS PAC ID: 1951445634 Enrollment ID: I20100908000432 |
| Provider Name | Charles S Haworth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669530390 PECOS PAC ID: 3375735400 Enrollment ID: I20101007001239 |
| Provider Name | Kimberly Dawn Leaird |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366508467 PECOS PAC ID: 3971799826 Enrollment ID: I20101118000449 |
| Provider Name | James R Liffrig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508937970 PECOS PAC ID: 1355537077 Enrollment ID: I20101120000006 |
| Provider Name | Nilima R Mosaly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417166067 PECOS PAC ID: 4385715242 Enrollment ID: I20110222000522 |
| Provider Name | Ovidiu-gabriel Silasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619915691 PECOS PAC ID: 1557461258 Enrollment ID: I20110620000311 |
| Provider Name | Michael D Nissen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417077827 PECOS PAC ID: 9234307729 Enrollment ID: I20110728000265 |
| Provider Name | Allan Gregory Rosenfeld |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083649867 PECOS PAC ID: 5890823785 Enrollment ID: I20111201000702 |
| Provider Name | Prakash Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053561498 PECOS PAC ID: 0547453284 Enrollment ID: I20120221001107 |
| Provider Name | Neeta L Vora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801904123 PECOS PAC ID: 9032295100 Enrollment ID: I20120501000384 |
| Provider Name | Michael J Sundborg |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508857962 PECOS PAC ID: 8820257850 Enrollment ID: I20120720000481 |
| Provider Name | Julia Lynne Mabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861772121 PECOS PAC ID: 3476701210 Enrollment ID: I20120919000691 |
| Provider Name | Bharat Subba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780883983 PECOS PAC ID: 5890835268 Enrollment ID: I20121018000406 |
| Provider Name | Elizabeth M Stringer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275800526 PECOS PAC ID: 7012169824 Enrollment ID: I20121130000096 |
| Provider Name | Mohan Shrestha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568638641 PECOS PAC ID: 5395804355 Enrollment ID: I20121206000525 |
| Provider Name | Robert M Watt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881681500 PECOS PAC ID: 1557535416 Enrollment ID: I20130214000445 |
| Provider Name | Richard E Cunanan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730387630 PECOS PAC ID: 0547455693 Enrollment ID: I20130328000345 |
| Provider Name | Jessica Anne Mcpherson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538397112 PECOS PAC ID: 1658512454 Enrollment ID: I20130719000738 |
| Provider Name | David Michael Stamilio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861495616 PECOS PAC ID: 3274573167 Enrollment ID: I20130724000664 |
| Provider Name | Ohigbai Ailende Egwaikhide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932399615 PECOS PAC ID: 6406048867 Enrollment ID: I20130815000337 |
| Provider Name | Charles Basil Howarth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932165552 PECOS PAC ID: 3577453752 Enrollment ID: I20130827000595 |
| Provider Name | Scott Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285605840 PECOS PAC ID: 9436391547 Enrollment ID: I20130920000049 |
| Provider Name | Mariel K Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952620460 PECOS PAC ID: 3678708914 Enrollment ID: I20131023000104 |
| Provider Name | Sarah Uffindell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023044351 PECOS PAC ID: 9234271149 Enrollment ID: I20131115001412 |
| Provider Name | Mark Fuller Sewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912913880 PECOS PAC ID: 8224265558 Enrollment ID: I20131212000915 |
| Provider Name | Steven C Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336222371 PECOS PAC ID: 7517194475 Enrollment ID: I20131220001484 |
| Provider Name | Virginia B Barbour |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417397464 PECOS PAC ID: 6608004353 Enrollment ID: I20140102001095 |
| Provider Name | Robert C Magee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972943926 PECOS PAC ID: 1254569775 Enrollment ID: I20140108000882 |
| Provider Name | Brandi B Bossinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144660192 PECOS PAC ID: 0547498099 Enrollment ID: I20140108001993 |
| Provider Name | Wendy G Roca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619290731 PECOS PAC ID: 1557590650 Enrollment ID: I20140213000985 |
| Provider Name | Stephanie A Grotzke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477874972 PECOS PAC ID: 3577793512 Enrollment ID: I20140519001630 |
| Provider Name | Melanie Blacker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427217595 PECOS PAC ID: 8628214392 Enrollment ID: I20140905002440 |
| Provider Name | Mary Belle Weitzel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851687487 PECOS PAC ID: 9133349756 Enrollment ID: I20141002001948 |
| Provider Name | Nicole Sarah Mcmahon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174766109 PECOS PAC ID: 2769647361 Enrollment ID: I20141009000926 |
| Provider Name | Marc G Granata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508162207 PECOS PAC ID: 3779715446 Enrollment ID: I20141016001860 |
| Provider Name | Julie Lynn Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033314117 PECOS PAC ID: 2062633779 Enrollment ID: I20141022001265 |
| Provider Name | Tracy Ann Manuck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881817674 PECOS PAC ID: 7517068216 Enrollment ID: I20141028001591 |
| Provider Name | Johnny A Dias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659500072 PECOS PAC ID: 0547583346 Enrollment ID: I20141231002072 |
| Provider Name | Julie Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881727881 PECOS PAC ID: 9335271642 Enrollment ID: I20150108000167 |
| Provider Name | Keyne K Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053577015 PECOS PAC ID: 9931240876 Enrollment ID: I20150826000316 |
| Provider Name | Sarah Alexander Pearce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285018879 PECOS PAC ID: 9638486566 Enrollment ID: I20150909002995 |
| Provider Name | Brent Edward Sammann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003288432 PECOS PAC ID: 9638475296 Enrollment ID: I20160308000517 |
| Provider Name | Jeffrey K Klotz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659361855 PECOS PAC ID: 8921188939 Enrollment ID: I20160331002568 |
| Provider Name | Taressa Aleine Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821351818 PECOS PAC ID: 4486801123 Enrollment ID: I20160415000230 |
| Provider Name | Michael D Fromke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144208406 PECOS PAC ID: 9335137983 Enrollment ID: I20160623002140 |
| Provider Name | Jennifer Lynn Griswold |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538366364 PECOS PAC ID: 8729303599 Enrollment ID: I20160725001391 |
| Provider Name | Michelle Rosemary Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467702167 PECOS PAC ID: 2163669839 Enrollment ID: I20170216001914 |
| Provider Name | Stephen H Shogan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801982400 PECOS PAC ID: 9931147188 Enrollment ID: I20170228001658 |
| Provider Name | Joseph Eisele Gillham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053624296 PECOS PAC ID: 7214204221 Enrollment ID: I20170523001428 |
| Provider Name | Ann Marie T Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942611280 PECOS PAC ID: 6305062332 Enrollment ID: I20171013002214 |
| Provider Name | Carolyn Sue Quinsey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205156502 PECOS PAC ID: 4981824091 Enrollment ID: I20171113002255 |
| Provider Name | Nathaniel Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245679422 PECOS PAC ID: 0345475489 Enrollment ID: I20171218001479 |
| Provider Name | Sirisha Perumandla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700891454 PECOS PAC ID: 1759386121 Enrollment ID: I20180124003125 |
| Provider Name | Sharon Fitzgerald |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1053579698 PECOS PAC ID: 2769613884 Enrollment ID: I20180521000569 |
| Provider Name | Karen S. Burgoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487632063 PECOS PAC ID: 5092710509 Enrollment ID: I20180702000399 |
| Provider Name | James Walker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598940686 PECOS PAC ID: 8820120215 Enrollment ID: I20181011001362 |
| Provider Name | Samuel Michael Costantini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851468771 PECOS PAC ID: 5799964698 Enrollment ID: I20181228000268 |
| Provider Name | Farooq Akbar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396772117 PECOS PAC ID: 6507828787 Enrollment ID: I20190515002789 |
| Provider Name | Thomas Joseph Richard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649255928 PECOS PAC ID: 2264684067 Enrollment ID: I20190807003846 |
| Provider Name | Bobbi S Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922668904 PECOS PAC ID: 8527397801 Enrollment ID: I20190911003280 |
| Provider Name | Spencer Sage Vaughn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164069423 PECOS PAC ID: 7719315365 Enrollment ID: I20200316000436 |
| Provider Name | Lisa Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508850892 PECOS PAC ID: 0648463869 Enrollment ID: I20200709002065 |
| Provider Name | Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578084927 PECOS PAC ID: 6800162603 Enrollment ID: I20201008000670 |
| Provider Name | Autumn Christine Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265031413 PECOS PAC ID: 4880005636 Enrollment ID: I20201130001010 |
| Provider Name | David Reisman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285710152 PECOS PAC ID: 4688711963 Enrollment ID: I20201201002605 |
| Provider Name | Nicole Marie Copersito |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952736092 PECOS PAC ID: 9739591249 Enrollment ID: I20201207001387 |
| Provider Name | Annmarie Dora Quilty |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649371535 PECOS PAC ID: 8527460922 Enrollment ID: I20210707003632 |
| Provider Name | Gabriel Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679077796 PECOS PAC ID: 3971853391 Enrollment ID: I20210713000024 |
| Provider Name | Megan Niemyer Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184392839 PECOS PAC ID: 6204234636 Enrollment ID: I20211014002700 |
| Provider Name | Brian David Sindelar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205196953 PECOS PAC ID: 2062648637 Enrollment ID: I20211018002334 |
| Provider Name | Saritha Ravella |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821244773 PECOS PAC ID: 9638397532 Enrollment ID: I20220607001141 |
| Provider Name | Teddy E Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013351808 PECOS PAC ID: 2466760392 Enrollment ID: I20220614002312 |
| Provider Name | Laura Emily Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205298072 PECOS PAC ID: 2961796768 Enrollment ID: I20220616000346 |
| Provider Name | Madonna A. Biritwum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295975779 PECOS PAC ID: 5193995850 Enrollment ID: I20220805002879 |
| Provider Name | Jaime L Delivuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043942741 PECOS PAC ID: 1153705033 Enrollment ID: I20220825003056 |
| Provider Name | Damon Craig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477281095 PECOS PAC ID: 8325423817 Enrollment ID: I20220920001749 |
| Provider Name | Kristina M Catania |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053765990 PECOS PAC ID: 7315230398 Enrollment ID: I20221004003546 |
| Provider Name | Dominique Mario Omar Higgins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518344373 PECOS PAC ID: 9830437482 Enrollment ID: I20221031001350 |
| Provider Name | Emily Bush |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356006688 PECOS PAC ID: 8921477126 Enrollment ID: I20221209002390 |
| Provider Name | Susie Wang Platt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447646013 PECOS PAC ID: 4880971845 Enrollment ID: I20230612003013 |
| Provider Name | Veda Karan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407503451 PECOS PAC ID: 2668831306 Enrollment ID: I20230628004394 |
| Provider Name | Patricia Hinrichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548969363 PECOS PAC ID: 0446611891 Enrollment ID: I20230801002482 |
| Provider Name | Matthew James Scarlotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083145510 PECOS PAC ID: 0042596140 Enrollment ID: I20230920004110 |
| Provider Name | Denise M Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669921474 PECOS PAC ID: 9830479948 Enrollment ID: I20240122004488 |
| Provider Name | Melissa C Mcenroe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144705633 PECOS PAC ID: 1254778665 Enrollment ID: I20240321000563 |
| Provider Name | Blake Lundgren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578109153 PECOS PAC ID: 4587086632 Enrollment ID: I20240529003243 |
Mid Carolina Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1038 Albemarle Rd, Troy, NC 27371 Phone: 910-572-1785 Fax: 910-572-1410 | |
Mcpc-21, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Allen St Ste 203, Troy, NC 27371 Phone: 910-571-5170 Fax: 910-571-5175 | |
Mid Carolina Family Medicine, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1038 Albemarle Rd, Troy, NC 27371 Phone: 910-572-1785 Fax: 910-572-1410 | |
Troy Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Albemarle Rd, Troy, NC 27371 Phone: 910-572-2309 | |
Troy Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Albemarle Rd, Troy, NC 27371 Phone: 910-572-2309 Fax: 910-572-3655 | |
Firsthealth Occupational Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Allen St Ste 203, Troy, NC 27371 Phone: 910-571-5170 Fax: 910-571-5175 |