SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1336797349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336797349 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
Other Organization Name | SOUTHEASTERN MATERNAL FETAL MEDICINE |
Practice Address |
4901 Dawn Dr Ste 1200 Lumberton NC 28360-0004 |
Mailing Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
Practice Telephone | 9106714214 |
Practice Fax Number | 9106714215 |
Mailing Telephone | 9102723048 |
Mailing Fax Number | 9107383764 |
Enumeration Date | 2019-09-03 |
Last Update Date | 2020-10-08 |
Authorized Official Name | ELLA HUNT (CREDENTIALING SPECIALIST) |
Authorized Official Telephone | 9107373147 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Southeastern Maternal Fetal Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043680630 | Southeastern Regional Physician Services | Clinic/Center | 2934 North Elm St., Suite B, Lumberton, NC 28358-2981 | 2015-09-25 |
1861829681 | Southeastern Regional Physician Services | Clinic/Center | 105 W 27th St, Lumberton, NC 28358-3014 | 2013-10-11 |
1407281082 | Southeastern Regional Physician Services | Clinic/Center | 4901 Dawn Dr Ste 3300, Lumberton, NC 28360-8288 | 2013-09-13 |
1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
1780202093 | Southeastern Regional Physician Services | Clinic/Center | 725 Oakridge Blvd Ste A3, Lumberton, NC 28358-2351 | 2020-07-13 |
1851950562 | Southeastern Regional Physician Services | Clinic/Center | 117 E Main St, Whiteville, NC 28472-4131 | 2019-06-07 |
1487113668 | Southeastern Regional Physician Services | Clinic/Center | 217 W Broad St, Saint Pauls, NC 28384-1533 | 2019-03-18 |
1699266742 | Southeastern Regional Physician Services | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2018-05-24 |
1831687912 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 800 Oakridge Blvd, Lumberton, NC 28358-2330 | 2018-04-25 |
1376065854 | Southeastern Regional Physician Services | Clinic/Center | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2017-07-17 |
Street Address |
4901 DAWN DR STE 1200 |
City | LUMBERTON |
State | NC |
Zip Code | 28360-0004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669690210 | Jacqueline Muhammad | Specialist | 4901 Dawn Dr Ste 1200, Lumberton, NC 28360-0004 | 2007-04-20 |
1356748057 | Southeastern Pharmacy Health Park | Pharmacy | 4901 Dawn Dr Ste 1200, Lumberton, NC 28360-8207 | 2014-11-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
Find all providers in zip 28360 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578953626 | Lumberton Obstetrics& Gynecology Associates Pa | Obstetrics & Gynecology | 1003 Woodridge Dr, Lumberton, NC 28358-3328 | 2015-01-28 |
1154557445 | Bernard Samuels | Obstetrics & Gynecology | 36 C Newton Rd, Lumberton, MS 39455-9060 | 2009-06-01 |
1932318623 | Lumberton Obstetrics & Gynecology Associates Pa | Obstetrics & Gynecology | 1003 Woodridge Dr., Lumberton, NC 28358 | 2007-05-21 |
1669537601 | Johnnie Wright Jr. | Obstetrics & Gynecology | Southeastern Women's Healthcare, 4300 Fayetteville Road, Lumberton, NC 28358-2677 | 2006-12-27 |
1881618130 | Robin Meadows | Obstetrics & Gynecology | 1636 Route 38 Eayrestown Road, Lumberton, NJ 08048 | 2006-07-27 |
1326074022 | Parveen Rashid | Obstetrics & Gynecology | 1617 Route 38, Pinelands Ob Gyn Associates, Lumberton, NJ 08048 | 2006-06-24 |
1992750129 | Regional Womens Health Group LLC | Obstetrics & Gynecology | 1636 Rt 38 & Eayrestown Rd, Lumberton, NJ 08048 | 2006-05-24 |
1417954025 | Walter Neal Jr. | Obstetrics & Gynecology | 725 Oakridge Blvd, Ste C-1, Lumberton, NC 28358-2375 | 2005-06-29 |
1831687912 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 800 Oakridge Blvd, Lumberton, NC 28358-2330 | 2018-04-25 |
1093106445 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 295 W 27th St, Lumberton, NC 28358-3016 | 2015-02-06 |
Find all providers in LUMBERTON |
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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.