DENNIS MICHAEL MAHAN (NPI# 1477550473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477550473 |
| Entity Type | Individual |
| Full Name | DENNIS MICHAEL MAHAN |
| Credential | M.D. |
| Practice Address |
1032 College St Oxford NC 27565-2507 |
| Mailing Address |
Po Box 986 Oxford NC 27565-0986 |
| Practice Telephone | 9196936541 |
| Practice Fax Number | 9196937396 |
| Mailing Telephone | (919) 690-3487 |
| Mailing Fax Number | 9196903246 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2017-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25053 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 25053 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 080185950 | 01 | |
| RAILROAD MEDICARE | 080181994 | 01 | |
| NC | 8953753 | 05 | |
| NC | BCBS | 53753 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275604282 | Dennis William Mahan | Physician Assistant | Bldg 11-59, Fort Indiantown Gap, Annville, PA 17003-5002 | 2006-11-13 |
| 1952389066 | Dennis Morris Mahan | Dentist | Naval Hospital, 2080 Child St, Jacksonville, FL 32214-0001 | 2006-01-09 |
| Street Address |
1032 COLLEGE ST |
| City | OXFORD |
| State | NC |
| Zip Code | 27565-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424404 | Beverly L. Anderson | Nurse Practitioner | 1032 College St, Oxford, NC 27565-2571 | 2005-06-01 |
| 1154737468 | Kelly Hayes | Pediatrics | 1032 College St, Oxford, NC 27565-2507 | 2014-07-08 |
| 1427134196 | Gimg | Internal Medicine | 1032 College St, Oxford, NC 27565-2507 | 2006-10-27 |
| 1114039708 | Ted S Carteaux IIi | Physician Assistant | 1032 College St, Oxford, NC 27565-2507 | 2006-08-31 |
| 1164424420 | Stephen D Ertischek | Internal Medicine | 1032 College St, Oxford, NC 27565-2571 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1972038495 | Brittany Adams | Pharmacist | 215 Williamsboro Street, Oxford, NC 27565 | 2017-04-21 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1801343819 | Four County Orthopedics Pa | Orthopaedic Surgery | 103 Professional Park Drive, Suite C, Oxford, NC 27565 | 2016-09-07 |
| 1548644842 | Drake Frazier and Mcneal, Dds, Pa | Dentist | 115 Williamsboro St., Oxford, NC 27565 | 2015-07-16 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1205021631 | Helping Hands Alternative Inc | Home Health | 121 East Mcclanahan Street, Oxford, NC 27565 | 2007-09-10 |
| 1730380874 | Hushang Ghodrat, Dds, Pa | Dentist | 1419 College Street, Suite B, Oxford, NC 27565 | 2007-05-29 |
| Find all providers in zip 27565 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144703521 | Shelly Renae Parker | Family Medicine | 2908 S Lamar Blvd Ste 300, Oxford, MS 38655-5375 | 2018-09-11 |
| 1700326022 | American Family Care, Inc. | Family Medicine | 30 Holmes Dr, Oxford, AL 36203-2420 | 2017-03-06 |
| 1487199568 | Duke University Affiliated Physicians, Inc. | Family Medicine | 1490 Williamsboro St., Oxford, NC 27565 | 2016-12-29 |
| 1740644277 | Janie Mcburnett | Family Medicine | 1612 Hamric Dr E Ste 100, Oxford, AL 36203-8057 | 2016-04-11 |
| 1609196096 | Shara L Croff | Family Medicine | 3850 High View Dr, Oxford, MI 48371-5739 | 2010-06-08 |
| 1609004936 | Shauna Leigh Guthrie | Family Medicine | 101 Hunt Dr, Oxford, NC 27565-3497 | 2009-06-25 |
| 1073753497 | Yashica Yvonne Ruffin | Family Medicine | 1015 Lewis Street, Oxford, NC 27565 | 2009-02-25 |
| 1376739151 | Davisson Jean Leandre F E Edmond | Family Medicine | 671 Snow St, Oxford, AL 36203-1212 | 2007-09-14 |
| 1497953533 | Rachel Maryann Klamo | Family Medicine | 72 South Washington St., Suite 204, Oxford, MI 48371 | 2007-07-10 |
| 1164557575 | Suzanne Ruth Hardacre | Family Medicine | 10 N Locust St Ste D, Oxford, OH 45056-1182 | 2007-02-23 |
| Find all providers in OXFORD | ||||
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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.