DR. ERIC SHERWOOD NEIJSTROM (NPI# 1366495822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366495822 |
| Entity Type | Individual |
| Full Name | DR. ERIC SHERWOOD NEIJSTROM |
| Credential | M.D. |
| Practice Address |
516 S Van Buren Rd Eden NC 27288-5019 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3366239713 |
| Practice Fax Number | 3366231031 |
| Mailing Telephone | 3366239713 |
| Mailing Fax Number | 3366231031 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 23630 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
23630 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 62064 | 01 |
| NC | 8962064 | 05 | |
| NC | MEDCOST | 28621 | 01 |
| NC | AETNA | 4318942 | 01 |
| NC | PARTNERS MEDICARE | 4915 | 01 |
| Street Address |
516 S VAN BUREN RD |
| City | EDEN |
| State | NC |
| Zip Code | 27288-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306831961 | Boris M Darovsky | Internal Medicine | 516 S Van Buren Rd, Eden, NC 27288-5019 | 2005-09-20 |
| 1821463027 | Novant Medical Group, Inc | Internal Medicine | 516 S Van Buren Rd, Eden, NC 27288-5019 | 2015-12-14 |
| 1689077539 | Nmg Affilate Practice I LLC | Internal Medicine | 516 S Van Buren Rd, Eden, NC 27288-5019 | 2014-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689077539 | Nmg Affilate Practice I LLC | Internal Medicine | 516 S Van Buren Rd, Eden, NC 27288-5019 | 2014-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916771 | American Oncology Partners, Pa | Internal Medicine | 10 One Center Ct, Franklin, NC 28734-0095 | 2020-03-10 |
| 1215570890 | American Oncology Partners, P.a. | Internal Medicine | 1860 Sugar Hill Rd Ste A, Marion, NC 28752-5565 | 2019-10-25 |
| 1730658808 | Laura Kolker Max | Internal Medicine | 2301 Erwin Road Unit 9300, Durham, NC 27710-2621 | 2018-11-19 |
| 1396249256 | Deanna Andrews Griffie | Internal Medicine | 20 Medicine Circle Duke Cancer Center Clinic 3-2, Durham, NC 27710-0001 | 2018-03-23 |
| 1558885004 | Casey Marie Mozingo | Internal Medicine | 20 Duke Medicine Circle Duke Cancer, Durham, NC 27710-0001 | 2017-07-26 |
| 1710430822 | Angel Medical Center, Inc. | Internal Medicine | 834 Depot St, Franklin, NC 28734-0176 | 2016-07-26 |
| 1174942262 | Kristen Leigh Perez | Internal Medicine | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710-4699 | 2014-04-16 |
| 1851739239 | Jingquan Jia | Internal Medicine | 20 Duke Medicine Drive, Durham, NC 27710 | 2013-06-07 |
| 1215279617 | Jacob Eli Berchuck | Internal Medicine | 226 Chesley Ln, Chapel Hill, NC 27514-1461 | 2013-03-23 |
| 1861759391 | Wayne Dewitt Brenckman Jr. | Internal Medicine | 5632 Denwood Ln, Durham, NC 27705-9252 | 2012-04-22 |
| Find all providers with the same taxonomy | ||||
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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.