HEALTHSTAT ONSITE CLINIC PARKDALE WILLIAMSTON NC (NPI# 1093101487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093101487 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC PARKDALE WILLIAMSTON NC |
| Practice Address |
23213 Nc Highway 125 Suite 300 Williamston NC 27892-9647 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Mailing Telephone | 7045296161 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
23213 NC HIGHWAY 125 SUITE 300 |
| City | WILLIAMSTON |
| State | NC |
| Zip Code | 27892-9647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844388 | A Ray of Hope Enterprise LLC | Counselor | 115 E. Main St, Williamston, NC 27892 | 2019-08-01 |
| 1689145476 | Michael Thomas Parrella | Physician Assistant | 2150, 310 South Mccaskey Road, Williamston, NC 27892 | 2018-12-06 |
| 1285136762 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1227 Brentway Ave, Williamston, NC 27892 | 2018-03-01 |
| 1528443843 | Jeanette Ruffin | Counselor | 223 Faith Works Community Svcs, Inc, Williamston, NC 27892 | 2015-07-28 |
| 1578719712 | Martin County Residential Services | Community/Behavioral Health | 6003 W. Main Street, Williamston, NC 27892 | 2008-08-07 |
| 1962662577 | Otis Benjamin Burnett Iv | Anesthesiology | 310 South Mckaskey Rd, Williamston, NC 27892 | 2008-06-17 |
| 1659543932 | Divine Intervention for Youth Inc. | Community/Behavioral Health | 203 Green Street, Williamston, NC 27892 | 2008-03-27 |
| 1568645521 | Earle Eugene Barnard | Physical Therapist | 115 West Boulevard, Williamston, NC 27892 | 2007-12-13 |
| 1124168141 | Martin County Residential Services Inc. | Case Manager/Care Coordinator | 6003 West Main Street, Williamston, NC 27892 | 2007-02-07 |
| 1962551374 | David T Marshburn | Dentist | 1025 Harrisway Drive, Williamston, NC 27892 | 2007-01-09 |
| Find all providers in zip 27892 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295160224 | Healthstat On-site Clinic/milliken Cushman | Preventive Medicine | 409 Gossett Dr, Williamston, SC 29697-1848 | 2013-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438407 | Healthstat Inc Southeastern Paper Greensboro | Preventive Medicine | 6201 Corporate Drive, Brown Summit, NC 27214 | 2020-08-18 |
| 1568073161 | Healthstat Inc National Gypsum Charlotte | Preventive Medicine | 2001 Rexford Rd, Charlotte, NC 28211-3415 | 2020-08-17 |
| 1619588217 | Healthstat Inc Ccbcc Monroe | Preventive Medicine | 4268 Capital Dr, Monroe, NC 28110-7681 | 2020-08-17 |
| 1518578111 | Healthstat Inc Coca Cola Corporate | Preventive Medicine | 4115 Coca Cola Plz, Charlotte, NC 28211-3400 | 2020-08-17 |
| 1073124673 | Healthstat Inc Coca Cola Charlotte | Preventive Medicine | 4901 Chesapeake Dr, Charlotte, NC 28216-2905 | 2020-08-17 |
| 1326659921 | Healthstat Inc Hitachi Metals | Preventive Medicine | 1 Hitachi Metals Dr, China Grove, NC 28023-9461 | 2020-08-17 |
| 1164033767 | Healthstat Inc Ccbcc Charlotte Mini | Preventive Medicine | 801 Black Satchel Rd, Charlotte, NC 28216-3453 | 2020-08-17 |
| 1336750934 | Healthstat Inc Gold Toe Moretz | Preventive Medicine | 7110 E Washington Street Ext, Mebane, NC 27302-8277 | 2020-08-17 |
| 1881215770 | Healthstat Onsite Clinic Mccreary Modern Plant 2 | Preventive Medicine | 2574 Us Highway 321 S, Newton, NC 28658-9349 | 2020-05-01 |
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTON |
| Zip Code | 27892 |
Please comment or provide details below to improve the information on HEALTHSTAT ONSITE CLINIC PARKDALE WILLIAMSTON NC.
| 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.