| Nhrmc Physician Group | |
|
2131 S 17th St Wilmington NC 28401-7407 | |
| (910) 772-9202 | |
| (910) 772-9452 |
| Full Name | Nhrmc Physician Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2131 S 17th St, Wilmington, North Carolina |
| Authorized Official Name and Position | John Barto (CEO) |
| Authorized Official Contact | 9103437000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nhrmc Physician Group 2131 S 17th St Wilmington NC 28401-7407 Ph: (910) 772-9202 | Nhrmc Physician Group 2131 S 17th St Wilmington NC 28401-7407 Ph: (910) 772-9202 |
| NPI Number | 1952705519 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 10/14/2014 |
| Medicare PECOS PAC ID | 0143110460 |
|---|---|
| Medicare Enrollment ID | O20141215000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952705519 | NPI | - | NPPES |
| Provider Name | Philip M Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205941432 PECOS PAC ID: 0547240723 Enrollment ID: I20040720001549 |
| Provider Name | David B Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306864517 PECOS PAC ID: 6002852118 Enrollment ID: I20050629000395 |
| Provider Name | Jeffrey A Stinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982671665 PECOS PAC ID: 9133149263 Enrollment ID: I20051202000713 |
| Provider Name | Martin J Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437188737 PECOS PAC ID: 0840202057 Enrollment ID: I20060706000241 |
| Provider Name | Jennifer A Neilsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881648111 PECOS PAC ID: 3971506882 Enrollment ID: I20060815000308 |
| Provider Name | Cecile T Robes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790784247 PECOS PAC ID: 0042220550 Enrollment ID: I20061017000258 |
| Provider Name | William W Hope |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548289804 PECOS PAC ID: 4981602612 Enrollment ID: I20061113000450 |
| Provider Name | Todd M Beste |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427040104 PECOS PAC ID: 1153348743 Enrollment ID: I20070723000800 |
| Provider Name | Janalynn F Beste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750388161 PECOS PAC ID: 8224120605 Enrollment ID: I20070815000873 |
| Provider Name | Catherine L Sotir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376551895 PECOS PAC ID: 5294752044 Enrollment ID: I20070919000958 |
| Provider Name | Maya Y Peltsverger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891998571 PECOS PAC ID: 4385712538 Enrollment ID: I20081001000547 |
| Provider Name | Heather L Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528260981 PECOS PAC ID: 6406917905 Enrollment ID: I20081202000716 |
| Provider Name | Pamela A Irby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386814218 PECOS PAC ID: 4789748500 Enrollment ID: I20090122000659 |
| Provider Name | Shannon C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770594236 PECOS PAC ID: 3577613843 Enrollment ID: I20090608000289 |
| Provider Name | Renuka M Bhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609079441 PECOS PAC ID: 0345390407 Enrollment ID: I20090610000682 |
| Provider Name | Denise S Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851520191 PECOS PAC ID: 9234282500 Enrollment ID: I20090804000430 |
| Provider Name | Diana S Deviney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942422571 PECOS PAC ID: 7810037074 Enrollment ID: I20091218000213 |
| Provider Name | Joseph M Payne |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205854452 PECOS PAC ID: 1951442920 Enrollment ID: I20100113000213 |
| Provider Name | Laif Lofgren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972508216 PECOS PAC ID: 9335283530 Enrollment ID: I20100225000085 |
| Provider Name | Edward F Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942229554 PECOS PAC ID: 7810970597 Enrollment ID: I20100330000345 |
| Provider Name | William B Hooks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225249253 PECOS PAC ID: 1456482314 Enrollment ID: I20100622000397 |
| Provider Name | William Miller Johnstone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780608893 PECOS PAC ID: 4688759376 Enrollment ID: I20100803000657 |
| Provider Name | Christine A Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730111824 PECOS PAC ID: 3173649217 Enrollment ID: I20100927001083 |
| Provider Name | Patricia D Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588692255 PECOS PAC ID: 7517083462 Enrollment ID: I20100928001153 |
| Provider Name | Victoria F Oxendine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386672863 PECOS PAC ID: 0749306579 Enrollment ID: I20100929000511 |
| Provider Name | Mark Edward Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386713923 PECOS PAC ID: 5496763146 Enrollment ID: I20111206000709 |
| Provider Name | Charin L Hanlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457458788 PECOS PAC ID: 3870570559 Enrollment ID: I20120515000353 |
| Provider Name | Mark A Versnick |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811146533 PECOS PAC ID: 6002062783 Enrollment ID: I20120813000260 |
| Provider Name | Karen M Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457589533 PECOS PAC ID: 0345496923 Enrollment ID: I20120814000677 |
| Provider Name | Ashwin V Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790945665 PECOS PAC ID: 2365699121 Enrollment ID: I20120829000731 |
| Provider Name | Elizabeth Acquista |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639353022 PECOS PAC ID: 5698922177 Enrollment ID: I20120906000366 |
| Provider Name | Leshonda T Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851403257 PECOS PAC ID: 7416191077 Enrollment ID: I20130920000455 |
| Provider Name | Joseph A Pino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063410264 PECOS PAC ID: 1052480241 Enrollment ID: I20140409000628 |
| Provider Name | Michael Stephen Jaskolka |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1285835355 PECOS PAC ID: 0547394744 Enrollment ID: I20140425000678 |
| Provider Name | Douglas J Boss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609886662 PECOS PAC ID: 0547337941 Enrollment ID: I20140822000417 |
| Provider Name | Michelle M Fillion |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1871758235 PECOS PAC ID: 3971743766 Enrollment ID: I20140903000455 |
| Provider Name | Jan T Clemmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017209 PECOS PAC ID: 9335463298 Enrollment ID: I20150123001710 |
| Provider Name | Ann H Jaworski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912933037 PECOS PAC ID: 1759608854 Enrollment ID: I20150331000399 |
| Provider Name | William F Powers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497983589 PECOS PAC ID: 2668614207 Enrollment ID: I20150423002201 |
| Provider Name | Mayra A. Overstreet Galeano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376833004 PECOS PAC ID: 1658516505 Enrollment ID: I20160329002029 |
| Provider Name | Tristan D Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912354739 PECOS PAC ID: 3274507801 Enrollment ID: I20160803002457 |
| Provider Name | William Curtis |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619243268 PECOS PAC ID: 3678706330 Enrollment ID: I20160819001062 |
| Provider Name | Toren Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457779498 PECOS PAC ID: 7810113867 Enrollment ID: I20170619001542 |
| Provider Name | Ashli Mckenzie Gibson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437688207 PECOS PAC ID: 5698047876 Enrollment ID: I20170823001464 |
| Provider Name | Frederic E Eckhauser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265473896 PECOS PAC ID: 3476685264 Enrollment ID: I20180213000325 |
| Provider Name | Timothy J Novosel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518072156 PECOS PAC ID: 8022017896 Enrollment ID: I20180629001926 |
| Provider Name | Brandon Lee Montana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376037549 PECOS PAC ID: 2961755632 Enrollment ID: I20181025002390 |
| Provider Name | Matthew R Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801356282 PECOS PAC ID: 5193059228 Enrollment ID: I20190624003366 |
| Provider Name | Sarah Scott Fox |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376988360 PECOS PAC ID: 7719129121 Enrollment ID: I20190805003269 |
| Provider Name | Latonya R Beatty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366742090 PECOS PAC ID: 1254504731 Enrollment ID: I20190828000556 |
| Provider Name | Kathleen M Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780053686 PECOS PAC ID: 7416267869 Enrollment ID: I20190904000150 |
| Provider Name | Erick Christian Meliher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790329910 PECOS PAC ID: 6608200753 Enrollment ID: I20191223001455 |
| Provider Name | Henna S Ables |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598303356 PECOS PAC ID: 4385071919 Enrollment ID: I20200220002281 |
| Provider Name | Angela Elaine Azzolina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760016364 PECOS PAC ID: 3779914585 Enrollment ID: I20200512000562 |
| Provider Name | Kristen E Wissbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356972483 PECOS PAC ID: 8123459716 Enrollment ID: I20200514002756 |
| Provider Name | Jonathan Kris Pan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831576255 PECOS PAC ID: 0345550224 Enrollment ID: I20200709000947 |
| Provider Name | James R Yon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659509602 PECOS PAC ID: 1658681234 Enrollment ID: I20200817001271 |
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