DR. WALTER RANDOLPH CHITWOOD JR.


Address: 115 Heart Dr Dept Of, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944
Phone: 2527444400

DR. WALTER RANDOLPH CHITWOOD JR. (NPI# 1306844436) 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) 1306844436
Entity Type Individual
Full Name DR. WALTER RANDOLPH CHITWOOD JR.
Credential MD
Practice Address 115 Heart Dr Dept Of
East Carolina Heart Institute @ Ecu Dept. of Cvs
Greenville
NC 27834-8944
Mailing Address Po Box 751069
Charlotte
NC 28275-1069
Practice Telephone 2527444400
Practice Fax Number 2527443987
Mailing Telephone 2527443520
Mailing Fax Number 2527443194
Enumeration Date 2005-07-12
Last Update Date 2011-11-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0129X Surgery
Specialization: Vascular Surgery
27140 NC Allopathic & Osteopathic Physicians
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 27140 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS NC 22370 01
NC 8922370 05
NC RAILROAD MEDICARE 330004174 01

Other Providers WALTER CHITWOOD

NPI Name Taxonomy Address Enumeration
1679691992 Walter C Chitwood Jr. Dentist 1110 W Clark Blvd, Murfreesboro, TN 37129-2340 2007-03-26
1053412312 Walter Francis Chitwood Psychologist 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 2006-09-26

Office Location

Street Address 115 HEART DR DEPT OF
EAST CAROLINA HEART INSTITUTE @ ECU DEPT. OF CVS
City GREENVILLE
State NC
Zip Code 27834-8944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790781847 Allen L. Oseroff Internal Medicine 115 Heart Dr Dept Of, Ecu Physicians Cardiology, Greenville, NC 27834-8944 2005-06-23
1780863217 Eric Lindsay Fearrington Internal Medicine 115 Heart Dr Dept Of, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 2007-11-01
1063533875 John Michael Cahill Internal Medicine 115 Heart Dr Dept Of, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 2007-04-02
1598807265 Brian Ray Cabarrus Internal Medicine 115 Heart Dr Dept Of, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 2007-02-12
1902811565 Samuel F Sears Jr. Psychologist 115 Heart Dr Dept Of, Ecu Physicians Cardiology, Greenville, NC 27834-8944 2006-07-30
1134172554 Mariavittoria Pitzalis Internal Medicine 115 Heart Dr Dept Of, Ecu Physicians Cardiology, Greenville, NC 27834-8944 2006-05-18
1710961164 David L Fairbrother Pediatrics 115 Heart Dr Dept Of, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 2005-11-30
1700869401 John Mark Williams Surgery 115 Heart Dr Dept Of, Ecu Physicians Cardiology, Greenville, NC 27834-8944 2005-11-28
1366424731 Robert Dennis Steed Pediatrics 115 Heart Dr Dept Of, Ecu Physicians Pediatric Cardiology, Greenville, NC 27834-8944 2005-11-18
1295726131 Charlie J Sang Jr. Pediatrics 115 Heart Dr Dept Of, Ecu Physicians Pediatric Cardiology, Greenville, NC 27834-8944 2005-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679707913 Chayanin Vatcharasiritham Thoracic Surgery (Cardiothoracic Vascular Surgery) 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 2009-05-14
1689859332 Ansar Hassan Thoracic Surgery (Cardiothoracic Vascular Surgery) Moye Blvd, Greenville, NC 27834-4300 2007-12-31
1467571430 Delta Physician Practices Thoracic Surgery (Cardiothoracic Vascular Surgery) 1202 Hospital St, Greenville, MS 38703-3213 2007-03-28
1346241361 Alfredo F. Gurmendi Thoracic Surgery (Cardiothoracic Vascular Surgery) 4211 Joe Ramsey Blvd E Ste 100, Greenville, TX 75401 2005-08-02
1518964535 Michael Cohron Trotter Thoracic Surgery (Cardiothoracic Vascular Surgery) 1705 Hospital St, Greenville, MS 38703-3225 2005-07-05
1295209260 Dustin Turner Thoracic Surgery (Cardiothoracic Vascular Surgery) 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2019-01-14
1407111081 Hesham Z. Saleh Thoracic Surgery (Cardiothoracic Vascular Surgery) 115 Heart Dr, East Carolina Heart Institute- Cardiothoracic Surgery, Greenville, NC 27834-8944 2012-07-10
1982987681 Tai-leung Daniel Chan Thoracic Surgery (Cardiothoracic Vascular Surgery) 115 Heart Dr, East Carolina Heart Institute @ Ecu, Greenville, NC 27834-8944 2011-09-20
1265697080 Joseph R. Elbeery Thoracic Surgery (Cardiothoracic Vascular Surgery) 600 Moye Blvd, Ecu Physicians: Cardiothoracic Surgery, Greenville, NC 27834-4300 2008-07-21
1740447374 Louis-mathieu Stevens Thoracic Surgery (Cardiothoracic Vascular Surgery) 600 Moye Blvd, Greenville, NC 27834 2008-05-21
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Competitor

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City GREENVILLE
Zip Code 27834

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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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