MAURITS J. WIERSEMA (NPI# 1316989692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316989692 |
| Entity Type | Individual |
| Full Name | MAURITS J. WIERSEMA |
| Credential | MD |
| Practice Address |
2604 Dr Martin Luther King Jr Blvd New Bern NC 28562-4238 |
| Mailing Address |
Po Box 68 Pollocksville NC 28573-0068 |
| Practice Telephone | 2526364502 |
| Practice Fax Number | 2526332785 |
| Mailing Telephone | 2526353906 |
| Mailing Fax Number | 2522240378 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2018-01881 | NC | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01039203A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100176630 | 05 |
| Street Address |
2604 DR MARTIN LUTHER KING JR BLVD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104429 | Sherri H England | Nurse Practitioner | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2005-06-20 |
| 1619522844 | Dixie Michelle Wheeler | Nurse Practitioner | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2019-08-05 |
| 1922516830 | Laura Gant Loveless | Physician Assistant | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2018-01-12 |
| 1639680366 | Margo Elizabeth Waters | Nurse Practitioner | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2017-10-20 |
| 1962939280 | Kevin Andrew Macdonald | Family Medicine | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2017-05-17 |
| 1174915680 | Vicky Apostolopoulos Erwin | Family Medicine | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562 | 2015-02-21 |
| 1679982383 | Jessica Holder Hale | Physician Assistant | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2014-08-06 |
| 1134549108 | Diana Andreea Gliga | Internal Medicine | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2014-04-17 |
| 1619238169 | Nicole R Check | Pediatrics | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2012-05-31 |
| 1871894519 | Carolinaeast Physicians | Hospitalist | 2604 Dr Martin Luther King Jr Blvd, Suite B, New Bern, NC 28562-4238 | 2010-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799043 | James Otuel Warren | Internal Medicine | 222 Drake Lndg, New Bern, NC 28560-8417 | 2005-09-06 |
| 1821394800 | Coastal Carolina Health Care Pa | Internal Medicine | 975 Newman Rd, New Bern, NC 28562-5252 | 2011-02-08 |
| 1740405323 | Wood B Gibbs | Internal Medicine | 3100 Wellons Blvd, New Bern, NC 28562-5247 | 2007-04-17 |
| 1194899484 | Joseph Stephen Healy | Internal Medicine | 3100 Wellons Blvd, New Bern, NC 28562-5247 | 2006-11-20 |
| 1356373831 | Robert Joseph Cimis Jr. | Internal Medicine | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2006-07-07 |
| 1275572794 | Coastal Carolina Health Care | Internal Medicine | 3100 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-06 |
| 1831145044 | David Evan Byrd | Internal Medicine | 3100 Wellons Blvd, New Bern, NC 28562-5247 | 2006-05-26 |
| 1982669594 | Barbara E. Salamon | Internal Medicine | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2006-04-18 |
| 1376503458 | Richard Lee | Internal Medicine | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2006-03-24 |
| 1821070376 | Garth J Garramone | Internal Medicine | 2604 Dr Martin Luther King Jr Blvd, New Bern, NC 28562-4238 | 2005-11-18 |
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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.