EASTER SEALS UCP NORTH CAROLINA & VIRGINIA,INC. (NPI# 1386078244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386078244 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS UCP NORTH CAROLINA & VIRGINIA,INC. |
| Practice Address |
223 Hull Rd Fayetteville NC 28303-5912 |
| Mailing Address |
5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 |
| Practice Telephone | 9104837283 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | EDWARDS RICHARD (VP SERVICE LINE) |
| Authorized Official Telephone | 9198658780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
223 HULL RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184768327 | Janet Dickerhoff Smith | Physical Therapist | 223 Hull Rd, Fayetteville, NC 28303-5912 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447383351 | Kids Time Pediatrics of Southern Crescent, LLC | Pediatrics | 115 Sumner Rd, Suite D, Fayetteville, GA 30214-4758 | 2007-03-13 |
| 1184615239 | David B Henderson | Pediatrics | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306268594 | Sollus Health, Pllc | Pediatrics | 547 Keisler Dr Ste 103, Cary, NC 27518-9309 | 2014-01-08 |
| 1740622166 | Sunshine Pediatric and Adolescent Care | Pediatrics | 1631 Midtown Pl Ste 107, Raleigh, NC 27609-1300 | 2013-07-26 |
| 1134265721 | Daniel Elmer Brown | Pediatrics | 2412 Ridge Rd, Raleigh, NC 27612-4759 | 2007-01-30 |
| 1417003385 | Renuka Shiv Harsh | Pediatrics | 218 Foust St Ste B, Asheboro, NC 27203-5476 | 2007-01-25 |
| 1932254687 | Rollyn Michelle Ornstein | Pediatrics | 4024 Stirrup Creek Drive, Durham, NC 27703 | 2007-01-24 |
| 1881743763 | Masoud Ahdieh | Pediatrics | 711 S Long Dr, Rockingham, NC 28379-4315 | 2007-01-09 |
| 1609966647 | Robert W Little | Pediatrics | 2505 S Mebane St, Suite A, Burlington, NC 27215-6385 | 2006-10-13 |
| 1487755567 | Charles Richardson Martin | Pediatrics | 2 Dewitt St, Jacksonville, NC 28540-5649 | 2006-09-25 |
| 1710094487 | William Clayton Hayes Jr. | Pediatrics | 825 Majestic Ct Ste B, Gastonia, NC 28054-5186 | 2006-08-25 |
| 1285650945 | Andrew Kenneth Kiluk | Pediatrics | 3701 John Platt Drive, Morehead City, NC 28557-3280 | 2006-07-14 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on EASTER SEALS UCP NORTH CAROLINA & VIRGINIA,INC..
| 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.