SOUTHEASTERN MEDICAL ONCOLOGY CENTER (NPI# 1225315666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225315666 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN MEDICAL ONCOLOGY CENTER |
| Practice Address |
211 Beaman Street Clinton NC 28328 |
| Mailing Address |
211 Beaman St Clinton NC 28328-2905 |
| Practice Telephone | 9105925727 |
| Practice Fax Number | 9105924695 |
| Mailing Telephone | 9105925727 |
| Mailing Fax Number | 9105924695 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | MRS. TERESA W HOYT (BUSINESS MANAGER) |
| Authorized Official Telephone | 9195879040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE | 2310707 | 01 |
| NC | 890252E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828678 | Southeastern Medical Oncology Center | Internal Medicine | 203 Cox Blvd, Goldsboro, NC 27534 | 2005-11-14 |
| 1528317724 | Southeastern Medical Oncology Center | Internal Medicine | 239 Station Street, Jacksonville, NC 28546 | 2012-09-04 |
| Street Address |
211 BEAMAN STREET |
| City | CLINTON |
| State | NC |
| Zip Code | 28328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| 1487753182 | Sessoms Medical Associates, LLC | Internal Medicine | 500 Beaman Street, Clinton, NC 28328 | 2006-09-21 |
| Find all providers in zip 28328 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306097209 | Jun Frank Sun | Internal Medicine | 8926 Woodyard Rd Ste 201, Clinton, MD 20735-4231 | 2008-10-09 |
| 1275547259 | Palmetto Hematology Oncology PC | Internal Medicine | 100 Plaza Circle, Suite B, Clinton, SC 29325-7561 | 2006-07-28 |
| 1467424044 | Stephen E Rubenstein | Internal Medicine | 7501 Surratts Rd Ste 108, Clinton, MD 20735-3371 | 2006-02-07 |
| 1215933221 | David J Haidak | Internal Medicine | 8926 Woodyard Rd, Ste 201, Clinton, MD 20735-4231 | 2005-06-23 |
| 1649424151 | Spartanburg Medical Center | Internal Medicine | 22725 Highway 76 E, Outpatient Center, Third Floor, Clinton, SC 29325-7527 | 2008-11-11 |
| 1982648036 | Jose L Mendoza | Internal Medicine | 8926 Woodyard Rd, Suite 201, Clinton, MD 20735-4220 | 2006-06-16 |
| 1871535245 | Nicholas A Demonaco | Internal Medicine | 8926 Woodyard Rd, Suite 201, Clinton, MD 20735-4220 | 2006-06-12 |
| 1962443317 | Oncology-hematology Associates Pa | Internal Medicine | 8926 Woodyard Rd, Suite 201, Clinton, MD 20735-4220 | 2006-06-09 |
| 1003857269 | Rita Gupta | Internal Medicine | 8926 Woodyard Rd, Suite 201, Clinton, MD 20735-4220 | 2006-06-09 |
| 1447291844 | Oncology-hematology Infusion Therapy Inc | Internal Medicine | 8926 Woodyard Rd, Suite 602, Clinton, MD 20735-4220 | 2006-06-09 |
| Find all providers in CLINTON | ||||
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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.