| Landmark Medical Of North Carolina Pc | |
|
2645 Meridian Pkwy Ste 323 Durham NC 27713-9957 | |
| (657) 400-5180 | |
| Not Available |
| Full Name | Landmark Medical Of North Carolina Pc |
|---|---|
| Speciality | General Practice |
| Location | 2645 Meridian Pkwy Ste 323, Durham, North Carolina |
| Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6572372459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of North Carolina Pc 7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 Ph: () - | Landmark Medical Of North Carolina Pc 2645 Meridian Pkwy Ste 323 Durham NC 27713-9957 Ph: (657) 400-5180 |
| NPI Number | 1326547514 |
|---|---|
| Provider Enumeration Date | 02/02/2018 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 0648533414 |
|---|---|
| Medicare Enrollment ID | O20180409000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326547514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Toni L Coes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972540326 PECOS PAC ID: 0547243503 Enrollment ID: I20040610000753 |
| Provider Name | Dwight Inghram Blair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881618825 PECOS PAC ID: 2365494549 Enrollment ID: I20050926000719 |
| Provider Name | Sean Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255349064 PECOS PAC ID: 7012919301 Enrollment ID: I20070215000782 |
| Provider Name | Ila Leigh Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295925089 PECOS PAC ID: 4688767254 Enrollment ID: I20071024000044 |
| Provider Name | Stephen Mantzouris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932514825 PECOS PAC ID: 7315167780 Enrollment ID: I20141007001016 |
| Provider Name | Catreina D Cherry-max |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740651942 PECOS PAC ID: 7719283647 Enrollment ID: I20160302002256 |
| Provider Name | Samantha Casper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280174 PECOS PAC ID: 5698010742 Enrollment ID: I20181219000046 |
| Provider Name | Bernita J Vereen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982214615 PECOS PAC ID: 4385054659 Enrollment ID: I20201028001465 |
| Provider Name | Bani'ci' N Townsend-harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649944844 PECOS PAC ID: 8123412749 Enrollment ID: I20220224002504 |
| Provider Name | Allison Rae Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316448277 PECOS PAC ID: 0244663052 Enrollment ID: I20220401001810 |
| Provider Name | Deaundre Alfonzo Dyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215427018 PECOS PAC ID: 5991060220 Enrollment ID: I20220609000290 |
| Provider Name | Rujira Renick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457971905 PECOS PAC ID: 9133544232 Enrollment ID: I20230106000523 |
| Provider Name | David Moen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942312301 PECOS PAC ID: 9830149624 Enrollment ID: I20230125001811 |
| Provider Name | Debra Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699307165 PECOS PAC ID: 6103147855 Enrollment ID: I20230126002449 |
| Provider Name | Altee Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386869410 PECOS PAC ID: 4385836154 Enrollment ID: I20230127000360 |
| Provider Name | Precious Antonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912549874 PECOS PAC ID: 9133593536 Enrollment ID: I20230327001845 |
| Provider Name | Heather Shea Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275170284 PECOS PAC ID: 0749647972 Enrollment ID: I20230605000034 |
Durham Recovery Response Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 Crutchfield St, Durham, NC 27704 Phone: 919-797-1943 Fax: 919-560-0302 | |
Durham Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 N Roxboro St, Durham, NC 27704 Phone: 919-471-1518 | |
Triangle Geriatrics & Palliative Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Ave, Durham, NC 27705 Phone: 540-447-6614 | |
Duke Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710 Phone: 919-681-9355 | |
Novant Health Durham Internal Medicine Southpoint Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5107 Southpark Dr, Suite 104, Durham, NC 27713 Phone: 919-477-6900 Fax: 919-544-6210 | |
American Current Care Of North Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Surles Court, Suite 11, Durham, NC 27703 Phone: 919-941-1911 Fax: 919-941-1901 | |
Shae Medical, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5306 Nc Highway 55, Suite 105, Durham, NC 27713 Phone: 919-646-4858 Fax: 919-679-7112 |