DR. GLENN EDWARD MACNICHOL (NPI# 1245297811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245297811 |
Entity Type | Individual |
Full Name | DR. GLENN EDWARD MACNICHOL |
Credential | M.D. |
Practice Address |
110 Patrick Ct Rocky Mount NC 27804-1743 |
Practice Telephone | 2524430400 |
Practice Fax Number | 2524430572 |
Mailing Telephone | 2524430400 |
Mailing Fax Number | 2524430572 |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 34389 | NC | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
34389 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7953696 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2906 N Main St, Tarboro, NC 278861921 | 2528237212 | 2528235668 |
Street Address |
110 PATRICK CT |
City | ROCKY MOUNT |
State | NC |
Zip Code | 27804-1743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417934878 | Robert Charles Martin | Orthopaedic Surgery | 110 Patrick Ct, Rocky Mount, NC 27804-1743 | 2005-12-28 |
1164978516 | Morgan Greene | Specialist/Technologist | 110 Patrick Ct, Rocky Mount, NC 27804-1743 | 2016-08-26 |
1932585676 | Carey Marion Amato | Physician Assistant | 110 Patrick Ct, Rocky Mount, NC 27804-1743 | 2015-08-05 |
1487037818 | William Joseph Mayo | Physician Assistant | 110 Patrick Ct, Rocky Mount, NC 27804-8755 | 2015-07-02 |
1821225194 | Vantreia M Gross | Physician Assistant | 110 Patrick Ct, Rocky Mount, NC 27804 | 2009-06-15 |
1912029083 | Purvi D Desai | Physical Therapist | 110 Patrick Ct, Rocky Mount, NC 27804-1743 | 2007-04-06 |
1467540534 | Mark Nicholas Perlmutter | Orthopaedic Surgery | 110 Patrick Ct, Rocky Mount, NC 27804-1743 | 2006-10-11 |
1881630044 | Laura A Medlin | Physician Assistant | 110 Patrick Ct, Rocky Mount, NC 27804-1743 | 2006-06-22 |
1629018163 | Carolina Regional Orthopaedics, Pa | Pain Medicine | 110 Patrick Ct, Rocky Mount, NC 27804-8755 | 2006-06-06 |
1689613697 | Joseph Wellington Williams | Physician Assistant | 110 Patrick Ct, Rocky Mount, NC 27804-8755 | 2006-06-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
Find all providers in zip 27804 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629018163 | Carolina Regional Orthopaedics, Pa | Pain Medicine | 110 Patrick Ct, Rocky Mount, NC 27804-8755 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306317011 | United Spine & Pain PC | Pain Medicine | 855 Bradley St Ste A, Concord, NC 28025-2979 | 2018-12-07 |
1144604273 | Justis Group of Edenton | Pain Medicine | 905 Cherry St, North Wilkesboro, NC 28659-4251 | 2015-07-18 |
1578968079 | Carolinas Center for Advanced Management of Pain | Pain Medicine | 2569 Pembroke Rd, Gastonia, NC 28054-4712 | 2014-10-27 |
1255351110 | Scott Richard Johnston | Pain Medicine | 250 Huff Dr, Jacksonville, NC 28546-7369 | 2006-07-20 |
1558366385 | Sunil K Arora | Pain Medicine | 1602 Physicians Dr, Suite 103, Wilmington, NC 28401-7363 | 2005-06-17 |
1528063542 | Center for Pain Management Pllc | Pain Medicine | 1602 Physicians Dr Ste 103, Wilmington, NC 28401-7350 | 2005-06-16 |
1992310502 | Southeastern Pain and Wellness, Pllc | Pain Medicine | 402 W King St, King, NC 27021-9170 | 2020-09-10 |
1710592399 | Triangle Pain Institute | Pain Medicine | 2605 Blue Ridge Rd Ste 330, Raleigh, NC 27607-6475 | 2020-09-10 |
1144863358 | Envision Pain Management Pllc | Pain Medicine | 107 Haywood Park Dr, Clyde, NC 28721-4405 | 2019-10-21 |
1518438811 | Medical Innovations Concepts, P.C. | Pain Medicine | 294 N Nc 16 Business Hwy Ste B, Denver, NC 28037-8741 | 2018-12-12 |
Find all providers with the same taxonomy |
City | ROCKY MOUNT |
Zip Code | 27804 |
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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.