OUTER BANKS HEMATOLOGY ONCOLOGY PA (NPI# 1437102829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437102829 |
| Entity Type | Organization |
| Organization Name | OUTER BANKS HEMATOLOGY ONCOLOGY PA |
| Practice Address |
4810 S Croatan Hwy Suite 120 Nags Head NC 27959-8508 |
| Mailing Address |
Po Box 2288 Manteo NC 27954-2288 |
| Practice Telephone | 2524804699 |
| Practice Fax Number | 2524803280 |
| Mailing Telephone | 2524804699 |
| Mailing Fax Number | 2524803280 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | JOSE M ACOSTAMADIEDO (PRESIDENT) |
| Authorized Official Telephone | 2524804699 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89126U6 | 05 | |
| NC | RR MEDICARE | DE2252 | 01 |
| Street Address |
4810 S CROATAN HWY SUITE 120 |
| City | NAGS HEAD |
| State | NC |
| Zip Code | 27959-8508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394258 | David Stuart Thompson | Internal Medicine | 4810 S Croatan Hwy, Ste 100, Nags Head, NC 27959-8504 | 2005-05-31 |
| 1902126055 | Hanna Z Molina | Obstetrics & Gynecology | 4810 S Croatan Hwy, Suite 100, Nags Head, NC 27959-8508 | 2010-06-10 |
| 1144459389 | Anna B Ward | Physician Assistant | 4810 S Croatan Hwy, Suite 250, Nags Head, NC 27959-8508 | 2009-07-09 |
| 1871512772 | James Corbitt Woodson | Dentist | 4810 S Croatan Hwy, Suite 270, Nags Head, NC 27959-8508 | 2006-07-19 |
| 1568489110 | Georgia A Drumheller | Pediatrics | 4810 S Croatan Hwy, Suite 100, Nags Head, NC 27959 | 2006-07-17 |
| 1467478230 | Daniel Patrick Dwyer | Obstetrics & Gynecology | 4810 S Croatan Hwy, Ste 250, Nags Head, NC 27959-8508 | 2006-07-14 |
| 1689627457 | Kimberly L. Ceaser | Physician Assistant | 4810 S Croatan Hwy, Suite 110, Nags Head, NC 27959-8508 | 2006-05-19 |
| 1568414183 | John L Adami | Internal Medicine | 4810 S Croatan Hwy, Suite 200, Nags Head, NC 27959-8508 | 2006-05-16 |
| 1720081128 | Vern Arthur Metcalf | Internal Medicine | 4810 S Croatan Hwy, Ste 100, Nags Head, NC 27959-8504 | 2005-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609124 | Charla D Huff | Counselor | 2224 S Croatan Hwy, Nags Head, Nc 27959, Nags Head, NC 27959 | 2020-08-11 |
| 1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
| 1780847392 | Brainard Lee Ackley | Chiropractor | 119 West Woodhill Drive, Suite 7, Nags Head, NC 27959 | 2008-07-03 |
| 1629241963 | Joseph Console Martone | Dentist | 2300 Croatan Highway, Suite #203, Nags Head, NC 27959 | 2008-04-08 |
| 1902096886 | Tristan Roderick | Psychologist | 2514 South Croatan Hwy, Nags Head, NC 27959 | 2007-07-27 |
| 1750593570 | Joan Beall | Counselor | 2215 Va Dare Trail, Nags Head, NC 27959 | 2007-05-04 |
| 1366654071 | William Milnor Downing Vi | Dentist | 2917 South Croatan Hwy, Nags Head, NC 27959 | 2007-05-04 |
| 1821117318 | Bear Drugs of Nags Head Inc. | Pharmacy | 4711 S. Croatan Hwy, Unit #4, Nags Head, NC 27959 | 2007-03-28 |
| 1275663916 | John Robert Wallace | Physical Therapist | 103 W Woodhill Dr, Suite A, Nags Head, NC 27959 | 2007-03-06 |
| 1477607273 | Albemarle Mental Health Center | Social Worker | 2514 S Croatan Hwy, Nags Head, NC 27959 | 2007-01-22 |
| Find all providers in zip 27959 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OUTER BANKS HEMATOLOGY ONCOLOGY PA.
| 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.