TREVOR CHRISTOPHER UPHAM (NPI# 1285895292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285895292 |
Entity Type | Individual |
Full Name | TREVOR CHRISTOPHER UPHAM |
Credential | MD |
Practice Address |
3000 New Bern Ave Raleigh NC 27610-1231 |
Practice Telephone | 9192316333 |
Practice Fax Number | 9192316334 |
Mailing Telephone | 9192316333 |
Mailing Fax Number | 9192316334 |
Enumeration Date | 2008-06-23 |
Last Update Date | 2018-01-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 136241 | CA | Allopathic & Osteopathic Physicians |
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2017-00587 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 1285895292 | 05 |
Street Address |
3000 NEW BERN AVE |
City | RALEIGH |
State | NC |
Zip Code | 27610-1231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972508661 | George Rayburn Cheely | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-17 |
1811507700 | Erika Barbosa Richard | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-05 |
1790395846 | Dana Sroka Thomson | Physical Therapist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-04 |
1477163756 | Sarah Anne Schwisow | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-03 |
1831708486 | Andrew Yoon | Physician Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-07-29 |
1770104622 | Sonya Zaghloul | Speech-Language Pathologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-05-01 |
1871121269 | Bethany Shaffer Flinchum | Clinic/Center | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-31 |
1326674789 | Thomas Mellette | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-18 |
1457986234 | Rose Meitzen | Nurse Practitioner | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-11 |
1932733847 | Olga Sushkevich | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-02-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
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Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144884636 | Wakemed Specialists Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-04-30 |
1326316704 | Rex Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4420 Lake Boone Trl, Suite 100, Raleigh, NC 27607-7505 | 2011-12-13 |
1871878470 | Rex Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2800 Blue Ridge Rd, Suite 201, Raleigh, NC 27607-6478 | 2011-10-14 |
1710213160 | Rex Physicians LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2800 Blue Ridge Road, Suite 403, Raleigh, NC 27607-6476 | 2009-10-20 |
1306040266 | Richard Marston Gillespie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2800 Blue Ridge Rd, Suite 201, Raleigh, NC 27607-6478 | 2007-06-13 |
1497966782 | Bryon Boulton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 New Bern Ave, Suite 1100, Raleigh, NC 27610-1231 | 2007-05-25 |
1902930720 | Capital Cardiovascular Surgery Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3214 Charles B Root Wynd, 203, Raleigh, NC 27612-5440 | 2007-03-15 |
1437257250 | Lance Eric Landvater | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 New Bern Ave Ste 1100, Raleigh, NC 27610 | 2006-09-20 |
1891705240 | Alvan W Atkinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3214 Charles B Root Wynd, Suite 203, Raleigh, NC 27612-5440 | 2006-08-08 |
1154339034 | Robert Merrill Hunter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3000 New Bern Ave, Suite 1100, Raleigh, NC 27610 | 2006-08-04 |
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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.