DENNIS P LEGOLVAN (NPI# 1013915776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013915776 |
| Entity Type | Individual |
| Full Name | DENNIS P LEGOLVAN |
| Credential | MD |
| Practice Address |
1135 Carthage St Sanford NC 27330-4162 |
| Mailing Address |
Po Box 6241 Christiansburg VA 24068-6241 |
| Practice Telephone | 9197742270 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2009-01866 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PENDING | 05 |
| Street Address |
1135 CARTHAGE ST |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707183 | Chase Pennel | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2020-07-13 |
| 1396384343 | Vera Kotlyar | Dietitian, Registered | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-21 |
| 1831737402 | Emily Grace Gamble | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-14 |
| 1508412511 | Jessica Rakes Heyse | Nurse Practitioner | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-08-15 |
| 1700438546 | Gary Taylor | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-07-11 |
| 1497310148 | Jonathan Goldston | Emergency Medicine | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-05-08 |
| 1336607464 | Katherine Vanderford | Registered Nurse | 1135 Carthage St, Sanford, NC 27330 | 2019-03-07 |
| 1972069243 | Mark Benning | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-02-12 |
| 1164900544 | Pazoo Xiong | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2018-07-30 |
| 1932615135 | Lexis Hohman | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2017-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700910767 | Ming Yin | Pathology | 1135 Carthage St, Sanford, NC 27330 | 2007-03-14 |
| 1952300998 | Nathan Carr Pulkingham Md Pa | Pathology | 1135 Carthage St, Sanford, NC 27330-4162 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484965 | Azad Bakht | Pathology | Medical Center Boulevard Department of Pathology, Winston Salem, NC 27157-0001 | 2020-07-10 |
| 1316401375 | Celligent Diagnostics, LLC | Pathology | 101 E W T Harris Blvd Ste 1212, Charlotte, NC 28262-3423 | 2019-01-24 |
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| 1134651748 | Elsa Mondou | Pathology | 6008 Bunchberry Ct, Raleigh, NC 27616-5454 | 2017-04-02 |
| 1578910006 | Jennifer Michelle Crimmins | Pathology | Dumc 3712, Durham, NC 27710-4220 | 2016-05-13 |
| 1407237811 | Cori Breslauer | Pathology | Pathology and Lab Medicine, Bbb Cb 7525, Chapel Hill, NC 27599-7525 | 2015-06-11 |
| 1548668338 | Cheryl Levine | Pathology | 1740 Montclair Ave, Gastonia, NC 28054-4848 | 2014-12-11 |
| 1396005369 | Bart B Singer | Pathology | Unc Pathology Cb 7525 Brinkhous-bullitt Building, Chapel Hill, NC 27599-7525 | 2012-05-23 |
| 1750670279 | Nathan Samuel Cuka | Pathology | 3333 Silas Creek Pkwy Fl 1, Winston Salem, NC 27103-3013 | 2011-04-05 |
| 1669790994 | Sara Elizabeth Wobker | Pathology | 303 Brinkhouse Bullitt Bldg, Department of Pathology, Cb# 7525, Chapel Hill, NC 27599-7525 | 2010-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.