DR. DAVID WAYNE VAN WYCK (NPI# 1316173503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316173503 |
| Entity Type | Individual |
| Full Name | DR. DAVID WAYNE VAN WYCK |
| Credential | D.O. |
| Practice Address |
155 Memorial Dr Pinehurst NC 28374-8710 |
| Mailing Address |
9040 Fitzsimmons Dr Tacoma WA 98431-1000 |
| Practice Telephone | 9107152164 |
| Practice Fax Number | 9107154493 |
| Mailing Telephone | 2539681399 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2018-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2015-00419 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9040 Fitzsimmons Dr, Tacoma, WA 984311000 | 2539681399 |
| Street Address |
155 MEMORIAL DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355406 | Steven P Michael | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2005-06-08 |
| 1497373435 | Brittany Nicole Trethewey | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-07-07 |
| 1972120798 | Brittany Cherish Atkinson | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-06-27 |
| 1497375273 | Patricia Fisher | Registered Nurse | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-04-21 |
| 1952941031 | Jonathon P Portincasa | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-07 |
| 1992344121 | Karen Hayes | Dietitian, Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2020-01-06 |
| 1679119499 | Mcpc-5, LLC | Internal Medicine | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-11-27 |
| 1215572540 | Karen Boston | Dietitian, Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-11-11 |
| 1063063766 | Michelle Marie Trexler | Nurse Practitioner | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2019-09-24 |
| 1912489725 | Viridiana C Morman | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841321874 | Ellen Andrews | Psychiatry & Neurology | 195 Midland Rd, Pinehurst, NC 28374-8769 | 2007-03-09 |
| 1205892916 | Pinehurst Neurology, Pa | Psychiatry & Neurology | 1 Page Rd, Pinehurst, NC 28374-8745 | 2006-04-21 |
| 1578856159 | Jonathan R Diaz | Psychiatry & Neurology | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2011-05-16 |
| 1134450422 | Mcpc-3, LLC | Psychiatry & Neurology | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2010-01-26 |
| 1427217595 | Melanie Jane Blacker | Psychiatry & Neurology | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2008-06-04 |
| 1336222371 | Steven Charles Lewis | Psychiatry & Neurology | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2006-10-23 |
| 1023044351 | Sarah Uffindell | Psychiatry & Neurology | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2006-06-26 |
| 1841256351 | Robert D Snyder | Psychiatry & Neurology | 1 Page Rd, Pinehurst, NC 28374-8745 | 2006-04-24 |
| 1750347266 | Jonathan M Richman | Psychiatry & Neurology | 1 Page Rd, Pinehurst, NC 28374-8745 | 2006-04-24 |
| 1215993803 | Misty L Sinclair | Psychiatry & Neurology | 1 Page Rd, Pinehurst, NC 28374-8745 | 2006-04-24 |
| Find all providers in PINEHURST | ||||
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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.