VONTRELLE LYNETTE ROUNDTREE (NPI# 1295092484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295092484 |
| Entity Type | Individual |
| Full Name | VONTRELLE LYNETTE ROUNDTREE |
| Credential | M.D. |
| Practice Address |
208 Cox Blvd Ste 102 Goldsboro NC 27534-9414 |
| Mailing Address |
Po Box 250 Beaver PA 15009-0250 |
| Practice Telephone | 9197316018 |
| Practice Fax Number | 9195807010 |
| Mailing Telephone | 8006340201 |
| Mailing Fax Number | 8667270896 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2013-01880 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
208 COX BLVD STE 102 |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215950035 | Robert Joseph Albrecht Jr. | Surgery | 208 Cox Blvd, Ste 201, Goldsboro, NC 27534-9414 | 2006-07-25 |
| 1457912453 | Amanda Marie Pliler | Social Worker | 208 Cox Blvd, Goldsboro, NC 27534-9414 | 2019-06-21 |
| 1114385283 | Morgan Jackson | Nurse Practitioner | 208 Cox Blvd, Suite 201, Goldsboro, NC 27534-9414 | 2016-02-04 |
| 1508230608 | Wayne Health Vascular and Vein Center LLC | Surgery | 208 Cox Blvd, Suite 201, Goldsboro, NC 27534-9414 | 2015-11-30 |
| 1134598212 | Heather Rae Holland | Nurse Practitioner | 208 Cox Blvd, Goldsboro, NC 27534-9414 | 2015-09-18 |
| 1053661066 | Wayne Health Physicians | Social Worker | 208 Cox Blvd, Suite 100, Goldsboro, NC 27534-9414 | 2012-09-17 |
| 1558630699 | Wayne Health Medical Clinic, LLC | Internal Medicine | 208 Cox Blvd, Suite 102, Goldsboro, NC 27534-9414 | 2011-12-19 |
| 1326356940 | Tara Mclamb | Nurse Practitioner | 208 Cox Blvd, Ste 102, Goldsboro, NC 27534-9414 | 2010-09-16 |
| 1578883203 | Jennifer Scott Smith | Social Worker | 208 Cox Blvd, Suite 100, Goldsboro, NC 27534-9414 | 2010-06-04 |
| 1659571792 | Meredith Owen Godwin | Psychiatry & Neurology | 208 Cox Blvd, Ste 100, Goldsboro, NC 27534-9414 | 2007-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164769709 | Rosewood Medical | Family Medicine | 172 Nc Highway 581 S, Goldsboro, NC 27530-9404 | 2013-01-15 |
| 1952670838 | Rosewood Immediate Care | Family Medicine | 172 Us Highway 581 South, Goldsboro, NC 27530-9404 | 2011-12-21 |
| 1467619817 | Little River Med 1 Pa | Family Medicine | 210 N Herman St, Goldsboro, NC 27530-3810 | 2008-05-21 |
| 1588840417 | Felicia D. Hussey, M.d., P.a. | Family Medicine | 327 N Spence Ave, Goldsboro, NC 27534-4347 | 2008-01-10 |
| 1407908148 | Felicia D Hussey | Family Medicine | 327 North Spence Avenue, Goldsboro, NC 27534-4347 | 2007-01-16 |
| 1184706830 | Ellen Brubeck Brogden | Family Medicine | 1509 E Ash St, Goldsboro, NC 27530 | 2006-10-20 |
| 1225118839 | John Scott Mcconnaughey | Family Medicine | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2006-10-17 |
| 1568552628 | Shannon R. Jimenez | Family Medicine | 2600 Us Highway 70 West, Goldsboro, NC 27530 | 2006-10-12 |
| 1871681478 | Anthony Clark Gaither | Family Medicine | 2607 Medical Office Pl, Goldsboro, NC 27534-9437 | 2006-10-10 |
| 1578662144 | Robert S. Meyer | Family Medicine | 208 N Herman St, Goldsboro, NC 27530-3810 | 2006-09-21 |
| Find all providers in GOLDSBORO | ||||
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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.