JAMES JEROME PENCE JR. (NPI# 1144273244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144273244 |
Entity Type | Individual |
Full Name | JAMES JEROME PENCE JR. |
Credential | MD |
Practice Address |
3014 Wingpointe Pl Wilmington NC 28409-2054 |
Practice Telephone | 9103927064 |
Practice Fax Number | 9103925885 |
Mailing Telephone | 9103927064 |
Mailing Fax Number | 9103925885 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2010-08-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 11571 | NC | Allopathic & Osteopathic Physicians |
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
11571 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8966744 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629369970 | James Wm Pence | Massage Therapist | 809 Legion Way Se, Suite 301, Olympia, WA 98501-1518 | 2011-04-20 |
Street Address |
3014 WINGPOINTE PL |
City | WILMINGTON |
State | NC |
Zip Code | 28409-2054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
Find all providers in zip 28409 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
A family medicine physician with 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962456145 | Wrightsboro Family Practice and Urgent Care LLC | Family Medicine | 2539 Castle Hayne Rd, Ste F1, Wilmington, NC 28401-2691 | 2006-05-20 |
1437146180 | Ina Li | Family Medicine | 1401 Foulk Rd, Suite 100, Wilmington, DE 19803-2763 | 2005-09-28 |
1760811681 | Christiana Care Health Services Inc | Family Medicine | 501 W 14th St, Wilmington Hospital Health Center, Wilmington, DE 19801-1013 | 2013-11-02 |
1447427471 | Seema Bipin Dattani | Family Medicine | 205 W 14th St, Wilmington, DE 19801-1114 | 2008-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649765058 | Frances Elizabeth Sutton | Family Medicine | 180 Southwood Dr, Clinton, NC 28328-5002 | 2018-06-27 |
1023313855 | Triangle Geriatrics & Palliative Medicine, Pllc | Family Medicine | 1010 Rosehill Ave, Durham, NC 27705-4019 | 2011-01-26 |
1316259013 | Graceful Aging,pc | Family Medicine | 2732 Bardolino Dr, Fayetteville, NC 28306-4636 | 2010-07-09 |
1306092549 | Coastal Mobile Medical Doctor, Pa | Family Medicine | 203 Stagecoach Dr, Jacksonville, NC 28546-9617 | 2008-08-07 |
1457541484 | North River Primecare PC | Family Medicine | 301 Jones Ave, Beaufort, NC 28516-1514 | 2007-07-26 |
1790812840 | Geridoc LLC | Family Medicine | 4431 Montibello Dr, Charlotte, NC 28226-7420 | 2007-02-27 |
1174658371 | Brunswick Gericare PC | Family Medicine | 602 Thomasboro Road, Calabash, NC 28467-9820 | 2007-02-21 |
1952446080 | Jeffrey Dean Martin | Family Medicine | North Carolina Disability Determination Services, 3301 Terminal Dr, Raleigh, NC 27602-0243 | 2007-02-20 |
1912048273 | Shine Thomas | Family Medicine | 1601 Brennar Ave, Salisbury, NC 28144-2515 | 2007-02-09 |
1982766283 | Balaji Pabbu | Family Medicine | 101 Heart Drive, Mail Stop 654, Greenville, NC 27834 | 2006-12-14 |
Find all providers with the same taxonomy |
City | WILMINGTON |
Zip Code | 28409 |
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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.