| Senior Health Associates, P.a. | |
|
1709 S 16th St Ste A Wilmington NC 28401-6429 | |
| (910) 452-8633 | |
| (910) 452-8569 |
| Full Name | Senior Health Associates, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1709 S 16th St Ste A, Wilmington, North Carolina |
| Authorized Official Name and Position | Mary Kathryn Rudyk (OWNER) |
| Authorized Official Contact | 9103922525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Health Associates, P.a. Po Box 15109 Wilmington NC 28408-5109 Ph: (910) 392-2525 | Senior Health Associates, P.a. 1709 S 16th St Ste A Wilmington NC 28401-6429 Ph: (910) 452-8633 |
| NPI Number | 1396893640 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 09/13/2013 |
| Medicare PECOS PAC ID | 6406867191 |
|---|---|
| Medicare Enrollment ID | O20091130000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396893640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy G Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194748327 PECOS PAC ID: 6002709573 Enrollment ID: I20040206000818 |
| Provider Name | Tracy L Hutson Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730393893 PECOS PAC ID: 7719947605 Enrollment ID: I20041014001008 |
| Provider Name | Terrance C Ashby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063440402 PECOS PAC ID: 8426003468 Enrollment ID: I20050314000228 |
| Provider Name | Midesha Pillay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598824237 PECOS PAC ID: 0244324622 Enrollment ID: I20070915000244 |
| Provider Name | Mary K Rudyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023165289 PECOS PAC ID: 6305857095 Enrollment ID: I20091130000632 |
| Provider Name | Nancy Jean Gerber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932198603 PECOS PAC ID: 0941334528 Enrollment ID: I20100819000975 |
| Provider Name | Lucretia Paul Newkirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235445982 PECOS PAC ID: 2769663442 Enrollment ID: I20110301000478 |
| Provider Name | Kathryn C Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265701577 PECOS PAC ID: 3779744313 Enrollment ID: I20120409000336 |
| Provider Name | Anndrea Dawn Carey-baskett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114205424 PECOS PAC ID: 6901078518 Enrollment ID: I20120420000633 |
| Provider Name | Carolyn Joyner Gelot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124392394 PECOS PAC ID: 6709910185 Enrollment ID: I20120614000011 |
| Provider Name | Elizabeth S Fowle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164818837 PECOS PAC ID: 2769794932 Enrollment ID: I20150630002020 |
| Provider Name | Karen M Kress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982686770 PECOS PAC ID: 1052367307 Enrollment ID: I20160322002322 |
| Provider Name | Pamela Lynne Schmierer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265897847 PECOS PAC ID: 4082911672 Enrollment ID: I20160325000469 |
| Provider Name | Cynthia J Martins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891167995 PECOS PAC ID: 4981904794 Enrollment ID: I20161114001562 |
| Provider Name | Patrick Gregory Bruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538608666 PECOS PAC ID: 5890070064 Enrollment ID: I20170330002117 |
| Provider Name | Erica Ann Grosseibl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467984203 PECOS PAC ID: 0840569257 Enrollment ID: I20170628001455 |
| Provider Name | John Timothy Garner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487760419 PECOS PAC ID: 8325049497 Enrollment ID: I20170808000337 |
| Provider Name | Michael Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467952564 PECOS PAC ID: 0840555843 Enrollment ID: I20180522001846 |
| Provider Name | Elizabeth A Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275195026 PECOS PAC ID: 7113256454 Enrollment ID: I20190911001648 |
| Provider Name | Angela A Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437781309 PECOS PAC ID: 8022446103 Enrollment ID: I20200324001807 |
| Provider Name | Teablee A Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538767173 PECOS PAC ID: 3678984028 Enrollment ID: I20201116002807 |
| Provider Name | Page Leigh Winchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982206686 PECOS PAC ID: 3678988268 Enrollment ID: I20210211002659 |
| Provider Name | Susan Marie Glose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326013590 PECOS PAC ID: 5698760817 Enrollment ID: I20210422000320 |
| Provider Name | Lauren Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265050181 PECOS PAC ID: 7315342441 Enrollment ID: I20210826003226 |
| Provider Name | Barbara A Wickham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922342849 PECOS PAC ID: 1951555721 Enrollment ID: I20220615003398 |
| Provider Name | Tracy L Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447831573 PECOS PAC ID: 9436527561 Enrollment ID: I20221122001148 |
| Provider Name | Flavia D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548985278 PECOS PAC ID: 5698145365 Enrollment ID: I20221221003203 |
| Provider Name | Krista L Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851018774 PECOS PAC ID: 7113387788 Enrollment ID: I20230713002960 |
| Provider Name | Emily M Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205529047 PECOS PAC ID: 9234599820 Enrollment ID: I20230713003691 |
| Provider Name | Kevin D Keagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841308277 PECOS PAC ID: 1456326313 Enrollment ID: I20230926003377 |
| Provider Name | Katherine Tildes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871070003 PECOS PAC ID: 9234569815 Enrollment ID: I20240108004515 |
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