DR. PAUL JOHN PHELAN (NPI# 1104182419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104182419 |
| Entity Type | Individual |
| Full Name | DR. PAUL JOHN PHELAN |
| Credential | MD |
| Practice Address |
2424 Erwin Rd Suite 605 Durham NC 27705-3824 |
| Mailing Address |
7 Beechdale Way Ballycullen Dublin DUBLIN D24 IE |
| Practice Telephone | 9196606860 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275672115 | Paul Raymond Phelan | Dentist | 104 Pleasant St, Concord, NH 03301-2931 | 2007-02-06 |
| Street Address |
2424 ERWIN RD SUITE 605 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386728293 | Ruediger Lehrich | Internal Medicine | 2424 Erwin Rd, Suite 605, Durham, NC 27705-3824 | 2006-10-25 |
| 1376901140 | Annette Aldridge Clark | Nurse Practitioner | 2424 Erwin Rd, Suite 504, Durham, NC 27705-3824 | 2016-02-08 |
| 1427327774 | Deanne Buschbach | Nurse Practitioner | 2424 Erwin Rd, Suite 500, Room 5027, Durham, NC 27705-3824 | 2011-12-15 |
| 1396034021 | Melissa Makar | Internal Medicine | 2424 Erwin Rd, Suite 605, Durham, NC 27705-3824 | 2011-04-04 |
| 1558524074 | Megan Jordan | Internal Medicine | 2424 Erwin Rd, Hock Plaza Suite 602 Room 6054, Durham, NC 27705-3824 | 2008-07-03 |
| 1164611489 | Pamela Winebrenner Gentry | Registered Nurse | 2424 Erwin Rd, Suite 1105, Room 11023, Durham, NC 27705-3824 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841250131 | Department of Veterans Affairs | General Acute Care Hospital | 508 Fulton St, Durham, NC 27705-3875 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568647857 | Hidetaka Yanagi | General Acute Care Hospital | Section On Infectious Disease Wake Forest Univ Sm, 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-01-04 |
| 1992838593 | Alleghany Memorial Hospital | General Acute Care Hospital | 233 Doctors Street, Sparta, NC 28675-9247 | 2007-03-13 |
| 1831241132 | Highlands-cashiers Hospital | General Acute Care Hospital | Hospital Dr Hwy 64 East, Highlands, NC 28741-0190 | 2007-01-17 |
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1346205978 | Pungo District Hospital Corporation | General Acute Care Hospital | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-18 |
| 1316908858 | Yancey Community Medical Services, Inc. | General Acute Care Hospital | 320 Pensacola Rd, Burnsville, NC 28714-3318 | 2006-03-31 |
| 1356318968 | Alleghany Memorial Hospital | General Acute Care Hospital | 233 Doctors St, Sparta, NC 28675-9247 | 2006-03-02 |
| 1013999705 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2005-11-17 |
| 1124018494 | Cah Acquisition Company 1 LLC | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962 | 2005-10-26 |
| 1093712655 | Chatham Hospital Inc | General Acute Care Hospital | 475 Progress Blvd., Siler City, NC 27344 | 2005-06-28 |
| Find all providers with the same taxonomy | ||||
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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.