WILMINGTON CARDIOLOGY PLLC (NPI# 1134189046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134189046 |
| Entity Type | Organization |
| Organization Name | WILMINGTON CARDIOLOGY PLLC |
| Practice Address |
1725 New Hanover Medical Park Dr Wilmington NC 28403-5345 |
| Practice Telephone | 9108153420 |
| Practice Fax Number | 9108153876 |
| Mailing Telephone | 9108153420 |
| Mailing Fax Number | 9108153876 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DORA M DAUGHHETEE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9108153420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| X | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89013GV | 05 |
| Street Address |
1725 NEW HANOVER MEDICAL PARK DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801356282 | Matthew R Merrill | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2019-03-22 |
| 1376037549 | Brandon Montana | Family Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2018-06-20 |
| 1538614151 | Carson Lee Antis | Physician Assistant | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2016-08-24 |
| 1164893798 | Cape Fear Physician Services | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1982075511 | Cape Fear Physician Services Inc. | Surgery | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1699146225 | Cape Fear Physician Services Inc. | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1881065415 | Cape Fear Physician Services Inc. | Oral & Maxillofacial Surgery | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-10-08 |
| 1831576255 | Jonathan Pan | Internal Medicine | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2015-05-06 |
| 1700017209 | Jan Thomas Clemmons | Nurse Practitioner | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 | 2009-07-31 |
| 1376702811 | Chukwuemeka Obiora | Surgery | 1725 New Hanover Medical Park Dr, Wilmington, NC 28403 | 2008-06-09 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1437430741 | Kenneth M. Corrin, Jr., M.d., P.a. | Internal Medicine | 1307 N Rodney St, Wilmington, DE 19806-4226 | 2011-08-31 |
| 1437278082 | Elinor Miller | Internal Medicine | 721 Blackshire Rd, Wilmington, DE 19805-2837 | 2007-03-28 |
| 1720147903 | Cardiology Assoc LLC | Internal Medicine | 2101 Faulk Road, Wilmington, DE 19170 | 2006-12-06 |
| 1871651380 | Delaware Medical Associates P.a. | Internal Medicine | 2101 Foulk Road, Wilmington, DE 19810 | 2006-12-05 |
| 1376581363 | Delaware Medical Group, LLC | Internal Medicine | 2006 Limestone Rd Ste 3, Wilmington, DE 19808-5553 | 2006-06-03 |
| 1659334696 | Hassan F Hamed | Internal Medicine | 1150 W Locust St Ste 300, Wilmington, OH 45177-2063 | 2006-04-10 |
| 1437122868 | Syed S Husain | Internal Medicine | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2006-02-08 |
| 1780677187 | William A Crafford Jr. | Internal Medicine | 1515 Doctors Cir, Hanover Medical Specialists, P.a., Wilmington, NC 28401-7403 | 2005-08-31 |
| 1902805922 | Kamar T Adeleke | Internal Medicine | 2401 Pennsylvania Ave, Ste 101, Wilmington, DE 19806-1432 | 2005-07-20 |
| 1972906766 | Bellevue Heart Group LLC | Internal Medicine | 1016 Delaware Ave, Wilmington, DE 19806-4704 | 2014-10-07 |
| Find all providers in WILMINGTON | ||||
| 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.