Pinehurst Surgical Clinic Pa | |
5 First Village Drive Pinehurst NC 28374 | |
(910) 295-6831 | |
(910) 295-0244 |
Full Name | Pinehurst Surgical Clinic Pa |
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Speciality | Surgery |
Location | 5 First Village Drive, Pinehurst, North Carolina |
Authorized Official Name and Position | Charles Gregg (CEO) |
Authorized Official Contact | 9102956831 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinehurst Surgical Clinic Pa Po Box 2000 Pinehurst NC 28374-2000 Ph: (910) 295-6831 | Pinehurst Surgical Clinic Pa 5 First Village Drive Pinehurst NC 28374 Ph: (910) 295-6831 |
NPI Number | 1962434324 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 10/05/2023 |
Medicare PECOS PAC ID | 4587561394 |
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Medicare Enrollment ID | O20031218000239 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962434324 | NPI | - | NPPES |
Provider Name | Huey W Chu |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1407850274 PECOS PAC ID: 6507840915 Enrollment ID: I20040615000180 |
Provider Name | Mark E Brenner |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184631335 PECOS PAC ID: 3779542212 Enrollment ID: I20041008000881 |
Provider Name | William V Terry |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1639159155 PECOS PAC ID: 0446295570 Enrollment ID: I20050707000213 |
Provider Name | Lori L Meltzer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649285248 PECOS PAC ID: 2163452202 Enrollment ID: I20050817001048 |
Provider Name | Raymond G Washington |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1669496758 PECOS PAC ID: 0547291122 Enrollment ID: I20050823000918 |
Provider Name | Clinton K Atkinson |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1083620280 PECOS PAC ID: 6002848330 Enrollment ID: I20050907000680 |
Provider Name | Greg Lewis Griewe |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1205841079 PECOS PAC ID: 8729003033 Enrollment ID: I20051005001218 |
Provider Name | Robert J Chamberlain |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1518974757 PECOS PAC ID: 7012932981 Enrollment ID: I20051010000831 |
Provider Name | Connie B Tighe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710994579 PECOS PAC ID: 6002837671 Enrollment ID: I20051209000771 |
Provider Name | Ward S Oakley |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699782458 PECOS PAC ID: 8820019490 Enrollment ID: I20051215000130 |
Provider Name | Fabian E Alzamora |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1073528832 PECOS PAC ID: 2062433071 Enrollment ID: I20051216000673 |
Provider Name | John R Moore |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1174530075 PECOS PAC ID: 2264456821 Enrollment ID: I20060123000506 |
Provider Name | David J Casey |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1437134442 PECOS PAC ID: 1951304047 Enrollment ID: I20060810000023 |
Provider Name | Kelly Tolentino |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760419253 PECOS PAC ID: 0042219669 Enrollment ID: I20061208000435 |
Provider Name | Keith Lyndon Mccormick |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912970815 PECOS PAC ID: 6800998915 Enrollment ID: I20070220000652 |
Provider Name | Leslie G Whitlock |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1245431840 PECOS PAC ID: 2466549647 Enrollment ID: I20071105000397 |
Provider Name | Antonios Zacharias Karamalegos |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1821088253 PECOS PAC ID: 7719062140 Enrollment ID: I20080310000692 |
Provider Name | Corinne J Dauteuil |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194982496 PECOS PAC ID: 3173695152 Enrollment ID: I20080708000572 |
Provider Name | David Grantham |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1689871683 PECOS PAC ID: 6406940618 Enrollment ID: I20081101000142 |
Provider Name | Toni A Washington |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1003877218 PECOS PAC ID: 2961502943 Enrollment ID: I20081101000145 |
Provider Name | Matthew Ryan Grafenberg |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1225001357 PECOS PAC ID: 0446311195 Enrollment ID: I20081212000542 |
Provider Name | Christina L Steele |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801031927 PECOS PAC ID: 6901963115 Enrollment ID: I20090314000025 |
Provider Name | Manlio A Goetzl |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1932229853 PECOS PAC ID: 8729130885 Enrollment ID: I20090721000271 |
Provider Name | Jonathan W Jackson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1629273735 PECOS PAC ID: 6901997329 Enrollment ID: I20090808000070 |
Provider Name | David E Strom |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1609883511 PECOS PAC ID: 6204801624 Enrollment ID: I20100315000571 |
Provider Name | Carl W Berk |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1740295500 PECOS PAC ID: 1951311000 Enrollment ID: I20100317001119 |
Provider Name | Jefferson K Kilpatrick |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1417979501 PECOS PAC ID: 0143305839 Enrollment ID: I20100327000062 |
Provider Name | Wyman T Mcguirt |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1053335919 PECOS PAC ID: 1052496742 Enrollment ID: I20100329000992 |
Provider Name | Stephen A Szabo |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1689698771 PECOS PAC ID: 5597840280 Enrollment ID: I20100423000399 |
Provider Name | Russell B Stokes |
---|---|
Provider Type | Practitioner - Plastic And Reconstructive Surgery |
Provider Identifiers | NPI Number: 1215081245 PECOS PAC ID: 2961533823 Enrollment ID: I20100622000312 |
Provider Name | Miles W Whitaker |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538195243 PECOS PAC ID: 9436235694 Enrollment ID: I20100814000014 |
Provider Name | Kurt P Wohlrab |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1043221658 PECOS PAC ID: 9335273101 Enrollment ID: I20100816000386 |
Provider Name | Neil A Conti |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1942217807 PECOS PAC ID: 8224113915 Enrollment ID: I20101118000732 |
Provider Name | Dell Andrew Dembosky |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1639155971 PECOS PAC ID: 6305871153 Enrollment ID: I20101122000782 |
Provider Name | Molly Crossman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003051418 PECOS PAC ID: 6800083221 Enrollment ID: I20101211000107 |
Provider Name | Waldemar Luis Riefkohl |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1184887234 PECOS PAC ID: 5496939373 Enrollment ID: I20110419000055 |
Provider Name | Chad R Rund |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1043482508 PECOS PAC ID: 9032288998 Enrollment ID: I20110520000115 |
Provider Name | James Thomas Marino |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1235399460 PECOS PAC ID: 1951570001 Enrollment ID: I20110808000386 |
Provider Name | Daniel M Williams |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1356462287 PECOS PAC ID: 3577609213 Enrollment ID: I20120809000139 |
Provider Name | Kimberly Beth Kelley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578804258 PECOS PAC ID: 2860638699 Enrollment ID: I20130423000146 |
Provider Name | Huankai Hu |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1538323563 PECOS PAC ID: 2466617774 Enrollment ID: I20140128001170 |
Provider Name | Lissette E Machin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033144357 PECOS PAC ID: 9133228190 Enrollment ID: I20140206001779 |
Provider Name | Paul Vieta |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1154529626 PECOS PAC ID: 8527237957 Enrollment ID: I20140505001275 |
Provider Name | Christopher Mclaurin Johnson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184682841 PECOS PAC ID: 7416014675 Enrollment ID: I20140812001236 |
Provider Name | Jason Michael Hope |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1720286453 PECOS PAC ID: 1658525779 Enrollment ID: I20160226001253 |
Provider Name | Brian Scott Burlingame |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1700943347 PECOS PAC ID: 5698991693 Enrollment ID: I20160811001202 |
Provider Name | Alexander C Lemons |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699069211 PECOS PAC ID: 7911143532 Enrollment ID: I20170712002740 |
Provider Name | Lynn M Fraser |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1710122429 PECOS PAC ID: 0143486712 Enrollment ID: I20170808003159 |
Provider Name | Danielle E Smith |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1578799078 PECOS PAC ID: 6901169101 Enrollment ID: I20180423002163 |
Provider Name | Glenn E Fusonie |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1417928474 PECOS PAC ID: 6204844699 Enrollment ID: I20180427000001 |
Provider Name | John Robert Michalak |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1295174928 PECOS PAC ID: 1557625522 Enrollment ID: I20180430001308 |
Provider Name | Olufunsho Adamolekun |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1013210459 PECOS PAC ID: 3274842059 Enrollment ID: I20180925000505 |
Provider Name | Lillian G Schnitzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093260549 PECOS PAC ID: 4284917972 Enrollment ID: I20181001000465 |
Provider Name | Matthew A Strode |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1467763227 PECOS PAC ID: 4486920592 Enrollment ID: I20190114001472 |
Provider Name | Brittany Meagan Lowery |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1245707611 PECOS PAC ID: 2860738465 Enrollment ID: I20190117002133 |
Provider Name | Heather Ann Evans |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1710417233 PECOS PAC ID: 1759656697 Enrollment ID: I20190306002592 |
Provider Name | Justin D Miller |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1912311507 PECOS PAC ID: 7214153774 Enrollment ID: I20190729000019 |
Provider Name | Bailey Sanders |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1982024022 PECOS PAC ID: 0648495705 Enrollment ID: I20190805001689 |
Provider Name | Hannah H Olliff |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1114574431 PECOS PAC ID: 0547592602 Enrollment ID: I20191023001713 |
Provider Name | Molly J Koczarski |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1508100132 PECOS PAC ID: 6204269731 Enrollment ID: I20191213001357 |
Provider Name | Ailsa C Emmel |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1366639346 PECOS PAC ID: 2466887468 Enrollment ID: I20200122000996 |
Provider Name | Ryan Britton Nance |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063808988 PECOS PAC ID: 4981918604 Enrollment ID: I20200416003511 |
Provider Name | Joshua Patrick Sesek |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1912318692 PECOS PAC ID: 1456688126 Enrollment ID: I20200630002813 |
Provider Name | Shannon L Skaug |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255825832 PECOS PAC ID: 0840549663 Enrollment ID: I20200806002050 |
Provider Name | Rachel Renee Jackson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1235747999 PECOS PAC ID: 9537588942 Enrollment ID: I20201005002494 |
Provider Name | Anton Vlasov |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1841639564 PECOS PAC ID: 0840610853 Enrollment ID: I20201013001861 |
Provider Name | Zachary Lilly |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700493731 PECOS PAC ID: 4789004532 Enrollment ID: I20201015001839 |
Provider Name | Alison L Morin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164848909 PECOS PAC ID: 7810120284 Enrollment ID: I20201124000765 |
Provider Name | Stephanie Mcauley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982254751 PECOS PAC ID: 9638583420 Enrollment ID: I20210208001658 |
Provider Name | Anne Glashan |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1720570641 PECOS PAC ID: 9234471582 Enrollment ID: I20210319001677 |
Provider Name | Samuel Allen Heathcote |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1063808046 PECOS PAC ID: 2264746338 Enrollment ID: I20210707000566 |
Provider Name | Jeffrey Daniel Hoffmann |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1679837355 PECOS PAC ID: 1052713591 Enrollment ID: I20210707001445 |
Provider Name | Michael Mueller |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1326492513 PECOS PAC ID: 8527359181 Enrollment ID: I20210831002304 |
Provider Name | Priyanka Sipani |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1508481581 PECOS PAC ID: 8729474226 Enrollment ID: I20220411000553 |
Provider Name | Janie Marie Rodesiler |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1265047104 PECOS PAC ID: 2365831690 Enrollment ID: I20220414001996 |
Provider Name | Marshall Malinowski |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275518789 PECOS PAC ID: 9133500739 Enrollment ID: I20220713003087 |
Provider Name | Laura C Wiley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205390473 PECOS PAC ID: 7012398423 Enrollment ID: I20220718000159 |
Provider Name | Jennifer A Sumner |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1033650486 PECOS PAC ID: 0042692493 Enrollment ID: I20220801002527 |
Provider Name | Jennifer L Ballinger |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1427599653 PECOS PAC ID: 3476824525 Enrollment ID: I20220913000988 |
Provider Name | Nathan R Knapp |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1053744961 PECOS PAC ID: 2668768839 Enrollment ID: I20220928001955 |
Provider Name | Steve Balos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093458663 PECOS PAC ID: 1355727231 Enrollment ID: I20220929001918 |
Provider Name | Melissa C Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558096560 PECOS PAC ID: 8022484021 Enrollment ID: I20221017000847 |
Provider Name | Thomas M Kelley |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1154736437 PECOS PAC ID: 8729456249 Enrollment ID: I20221115000162 |
Provider Name | Maxwell Joseph Brenner |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1932725116 PECOS PAC ID: 1850714254 Enrollment ID: I20230531001827 |
Provider Name | Tyler Wenzel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326629460 PECOS PAC ID: 7214381581 Enrollment ID: I20230921000336 |
Provider Name | Matthew B Beck |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1053631192 PECOS PAC ID: 7719125236 Enrollment ID: I20230927001516 |
Provider Name | Gary Edward Means |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649249046 PECOS PAC ID: 8820442213 Enrollment ID: I20231004001714 |
Provider Name | Mckenley Landris Byrd |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073296836 PECOS PAC ID: 5395181341 Enrollment ID: I20240312003901 |
Provider Name | Gordon Harrison |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003089061 PECOS PAC ID: 0143483750 Enrollment ID: I20240418000685 |
Firsthealth Convenient Care-pinehurst Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Ivey Lane, Pinehurst, NC 28374 Phone: 910-215-5100 | |
Max Motion Physical Therapy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Olmsted Blvd Ste D, Pinehurst, NC 28374 Phone: 910-235-0655 Fax: 910-235-0665 | |
Pinehurst Medical Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Page Rd, Pinehurst, NC 28374 Phone: 910-295-5511 Fax: 910-235-3443 | |
Firsthealth Transition Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Page Rd N Ste 1, Pinehurst, NC 28374 Phone: 910-715-8355 Fax: 910-715-8370 | |
Philipp C Wirth Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Aviemore Ct, Pinehurst, NC 28374 Phone: 315-729-0767 | |
Pinehurst Family Care Center,p.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Aviemore Dr, Pinehurst, NC 28374 Phone: 910-215-5555 Fax: 910-215-6134 | |
Firsthealth Infectious Diseases Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Memorial Dr, Pinehurst, NC 28374 Phone: 910-715-5481 Fax: 910-715-5745 |