DR. KAVITA S PERSAUD (NPI# 1023042215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023042215 |
| Entity Type | Individual |
| Full Name | DR. KAVITA S PERSAUD |
| Credential | M.D. |
| Practice Address |
5919 Oleander Dr Ste 109 Wilmington NC 28403-4757 |
| Mailing Address |
6300 Shinncreek Ln Wilmington NC 28409-2152 |
| Practice Telephone | 9107995508 |
| Practice Fax Number | 9102020654 |
| Mailing Telephone | 9107995508 |
| Mailing Fax Number | 9102020654 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
200100271 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 130FG | 01 |
| Street Address |
5919 OLEANDER DR STE 109 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568484442 | Carolina Geriatrics, Pa | Internal Medicine | 5919 Oleander Dr Ste 109, Wilmington, NC 28403-4757 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144337486 | Maria F. D'souza | Internal Medicine | 1941 Limestone Rd Ste 211, Wilmington, DE 19808-5400 | 2006-08-24 |
| 1386713923 | Mark E. Williams | Internal Medicine | 2131 S 17th St, Wilmington, NC 28401-7407 | 2006-11-07 |
| 1568484442 | Carolina Geriatrics, Pa | Internal Medicine | 5919 Oleander Dr Ste 109, Wilmington, NC 28403-4757 | 2006-07-23 |
| 1639139660 | Marsha D Fretwell | Internal Medicine | 1013 Porters Neck Rd, Suite 100, Wilmington, NC 28411-8130 | 2006-03-24 |
| 1477534907 | Robert Joseph Laskowski | Internal Medicine | 501 W 14th St, Wilmington, DE 19801-1013 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205324449 | Innovative Healthcare Management Provider Group | Internal Medicine | 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031-6575 | 2018-04-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1710480066 | Novant Medical Group, Inc. | Internal Medicine | 1450 Matthews Township Pkwy Ste 400, Matthews, NC 28105-5336 | 2018-03-13 |
| 1710306204 | Serena Wong | Internal Medicine | 40 Duke Medicine Cir Rm 2512, Durham, NC 27710-2527 | 2014-04-10 |
| 1033554811 | Ben Adam Blomberg | Internal Medicine | 6011 Farrington Rd, Suite 101, Chapel Hill, NC 27517-8168 | 2013-05-07 |
| 1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
| 1780974584 | Claire Kathryn Larson | Internal Medicine | 5003 Old Clinic Bldg Cb 7550, Chapel Hill, NC 27599-2204 | 2011-04-13 |
| 1316236649 | Mia Yang | Internal Medicine | Internal Medicine Section On Gerontology &, 1st Floor Sticht Center, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-04-07 |
| 1659673838 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1200 N Elm Street, Moses Cone Health System, Administrativeservices,ste201, Greensboro, NC 27401-1020 | 2010-11-22 |
| 1871821728 | Pamela Estelle Gutman | Internal Medicine | 189 Country Club Rd, Asheville, NC 28804 | 2009-12-03 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.