SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1356543383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356543383 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Practice Address |
4895 Fayetteville Rd Lumberton NC 28358-2162 |
| Mailing Address |
1031 Gatesville Dr Hope Mills NC 28348-8001 |
| Practice Telephone | 9107384554 |
| Practice Fax Number | 9107394027 |
| Mailing Telephone | 9104269346 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROGER F NICOSIA (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 9107384554 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 8799 | NC | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063779114 | Southeastern Regional Medical Center | Clinic/Center | 2934 N. El M St., Suite B, Lumberton, NC 28358-2981 | 2012-04-13 |
| 1821361346 | Southeastern Regional Medical Center | Pharmacy | 2934 North Elm St, Suite C, Lumberton, NC 28358 | 2012-02-14 |
| 1013245117 | Southeastern Regional Medical Center | Clinic/Center | 1277 Chicken Foot Rd., Hope Mills, NC 28348-7525 | 2009-12-01 |
| 1871735019 | Southeastern Regional Medical Center | Hearing Aid Equipment | 584 Farringdom St, Lumberton, NC 28358-2615 | 2009-04-02 |
| 1780831776 | Southeastern Regional Medical Center | Health Maintenance Organization | 103 W 27th St, Lumberton, NC 28358-3014 | 2008-08-21 |
| 1033396155 | Southeastern Regional Medical Center | Clinic/Center | 9928 N. W.r. Lathan Street, Clarkton, NC 28433 | 2008-01-31 |
| 1932389582 | Southeastern Regional Medical Center | Clinic/Center | 730 Oakridge Blvd Ste A, Lumberton, NC 28358-2324 | 2007-11-13 |
| 1649499278 | Southeastern Regional Medical Center | Substance Abuse Rehabilitation Facility | 107 Dallas Ave, Red Springs, NC 28377-1849 | 2007-04-24 |
| 1215003215 | Southeastern Regional Medical Center | Counselor | 705b Wesley Pines Rd, Lumberton, NC 28358-2105 | 2006-11-28 |
| 1639190242 | Southeastern Regional Medical Center | Clinic/Center | 1100 Pine Run Dr, Lumberton, NC 28358-2118 | 2006-07-21 |
| Street Address |
4895 FAYETTEVILLE RD |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811959117 | Henry T Edwards | Specialist/Technologist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2006-04-04 |
| 1225483134 | Candace Erin Langston | Clinical Exercise Physiologist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2016-04-28 |
| 1083030555 | Caroline Duncan Taylor | Specialist/Technologist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2014-03-08 |
| 1316388424 | Julie Ann Sawyer | Physical Therapist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2013-07-17 |
| 1932485760 | Ashley Monroe Walker | Clinical Exercise Physiologist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2011-10-25 |
| 1821273095 | Lisa Michelle Donovan | Occupational Therapist | 4895 Fayetteville Rd, Lumberton, NC 28358 | 2008-01-07 |
| 1972716322 | Kristine Mary Dini | Physical Therapist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2007-05-08 |
| 1003037938 | Mary Janet Florian | Physical Therapist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2007-05-01 |
| 1679694418 | Maria Corazon Dulay Aytona | Physical Therapist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2007-04-02 |
| 1306967153 | Christa Michelle Boileau | Physical Therapist | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1134533052 | Temple University Hospital | General Acute Care Hospital | 3 Amberwood Ln, Lumberton, NJ 08048-4309 | 2014-06-18 |
| 1790152668 | Southeastern Regional Medical Center | General Acute Care Hospital | 4901 Dawn Dr, Lumberton, NC 28360-8287 | 2015-08-27 |
| 1427445360 | Southeastern Regional Medical Center | General Acute Care Hospital | 300 West 27th Street, Lumberton, NC 28359 | 2015-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1760925143 | Duke University Medical Center | General Acute Care Hospital | 2543 Meridian Pkwy Apt 2106, Durham, NC 27713-2496 | 2016-12-02 |
| 1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
| 1912373804 | Baptist Medical Center | General Acute Care Hospital | 149 N Hazelwood Dr, Mocksville, NC 27028-7164 | 2015-08-14 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| 1689060303 | Novant Health Rehabilitation Center Matthews | General Acute Care Hospital | 1450 Matthews Township Pkwy Ste 150, Matthews, NC 28105-2388 | 2015-04-09 |
| 1124413513 | Baylor College of Medicine | General Acute Care Hospital | 537 Montclaire Dr, Mount Airy, NC 27030-9106 | 2015-04-01 |
| 1437540358 | Aimee L. Swain | General Acute Care Hospital | 4726 Rollins Pointe Dr, Monroe, NC 28110-7117 | 2015-02-13 |
| 1962893149 | Michelle Porter | General Acute Care Hospital | 402 Stagecoach Dr, Jacksonville, NC 28546-8663 | 2015-02-10 |
| 1487052114 | Hiroshi Okuda | General Acute Care Hospital | 103015 Dumc, Durham, NC 27710-0001 | 2014-12-11 |
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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.