JENNA SANTIAGO-WICKEY (NPI# 1265880124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265880124 |
| Entity Type | Individual |
| Full Name | JENNA SANTIAGO-WICKEY |
| Credential | DO |
| Practice Address |
300 W 27th St Lumberton NC 28358-3075 |
| Practice Telephone | 9102721478 |
| Practice Fax Number | 9106715392 |
| Mailing Telephone | 9102721478 |
| Mailing Fax Number | 9106715392 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 219288 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
300 W 27TH ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
| 1215536610 | Grant Hoffman Joerger | Nurse Anesthetist, Certified Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-19 |
| 1134726797 | Giulia Maria Oliva | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-07 |
| 1952917742 | Jennifer Renee Owen | Nurse Practitioner | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-09-17 |
| 1992328199 | Kristyn Nicole Flynn | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-21 |
| 1619590130 | Gregory Nathaniel Griffin | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1588287023 | Laura Christine James | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1932721735 | Jacob Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-14 |
| 1891317871 | Michael David-phillip Harris | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
| 1912529900 | Renaud Srivatsav Komandur | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962503615 | Dennis De Koven Riston | Emergency Medicine | 768 South Main Street, Lumberton, TX 77657 | 2006-09-26 |
| 1861431470 | Daniel Patrick Mcintyre | Emergency Medicine | 27 Banbury Rd, Lumberton, NJ 08048-4546 | 2006-06-06 |
| 1619921806 | Mohammed S Akram | Emergency Medicine | 7895 U S Highway 11, Lumberton, MS 39455-2406 | 2006-05-20 |
| 1013571538 | Altus Er Physician Group Pllc | Emergency Medicine | 137 N Lhs Dr, Lumberton, TX 77657-8620 | 2019-04-30 |
| 1801375373 | Robeson Emergency Physicians, Pllc | Emergency Medicine | 300 W 27th St, Lumberton, NC 28358-3075 | 2018-08-07 |
| 1649709650 | Village Creek Emergency Physicians Pllc | Emergency Medicine | 137 N Lhs Dr, Lumberton, TX 77657-8620 | 2017-06-05 |
| 1376071001 | Aleksandr Pevtsov | Emergency Medicine | 300 W 27th St, Lumberton, NC 28358 | 2017-05-25 |
| 1265881445 | Krelin Naidu | Emergency Medicine | 300 W 27th St, Lumberton, NC 28358-3075 | 2016-06-08 |
| 1891143889 | Field Davis | Emergency Medicine | 300 W 27th St, Lumberton, NC 28358-3075 | 2016-05-31 |
| 1508253162 | Daniel Schroder | Emergency Medicine | 300 West 27th Street, Southeastern Health, Lumberton, NC 28359 | 2015-04-22 |
| Find all providers in LUMBERTON | ||||
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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.