DR. GLENN EDWARD MACNICHOL


Address: 110 Patrick Ct, Rocky Mount, NC 27804-1743
Phone: 2524430400

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 7953696 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2906 N Main St, Tarboro, NC 278861921 2528237212 2528235668

Office Location

Street Address 110 PATRICK CT
City ROCKY MOUNT
State NC
Zip Code 27804-1743

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629018163 Carolina Regional Orthopaedics, Pa Pain Medicine 110 Patrick Ct, Rocky Mount, NC 27804-8755 2006-06-06

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City ROCKY MOUNT
Zip Code 27804

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Dataset Information

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.

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