MRS. RAETTA B FOUNTAIN (NPI# 1487643854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487643854 |
| Entity Type | Individual |
| Full Name | MRS. RAETTA B FOUNTAIN |
| Credential | MD |
| Practice Address |
2465 Emerald Place Greenville NC 27834-5785 |
| Practice Telephone | 2527582424 |
| Practice Fax Number | 2527580424 |
| Mailing Telephone | 2527582424 |
| Mailing Fax Number | 2527580424 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
9400570 | NC | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
00025122 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903770 | 05 |
| Street Address |
2465 EMERALD PLACE |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-5785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497023659 | Justin Luke Christy | Physician Assistant | 2465 Emerald Place, Greenville, NC 27834 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023257300 | Carolina Digestive Diseases, Pa | Internal Medicine | 704 W H Smith Blvd, Greenville, NC 27834-3761 | 2009-02-11 |
| 1386733558 | Glenn Knoell Harvin | Internal Medicine | 521 Moye Blvd Fl 3, Ecu Physicians Gastroenterology, Greenville, NC 27834-2849 | 2006-10-12 |
| 1124070594 | Joseph William Beets | Internal Medicine | 31 Medical Ridge Dr, Greenville, SC 29605 | 2006-05-16 |
| 1740238435 | Atlantic Gastroenterology Pa | Internal Medicine | 2465 Emerald Pl, Greenville, NC 27834-5785 | 2006-05-04 |
| 1548245202 | Stefano Pablo Marcuard | Internal Medicine | 428 Forrest Park, Greenville, NC 27858-6612 | 2005-12-14 |
| 1477549376 | Jack Cecil Cole | Internal Medicine | 2210 Hemby Lane, Greenville, NC 27834-3777 | 2005-09-26 |
| 1063404911 | Mahfuzul Haque | Internal Medicine | 1800 W 5th St, Suite 5, Greenville, NC 27834-2888 | 2005-08-17 |
| 1679190284 | Meredith Todd Rivenbark | Internal Medicine | 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 | 2020-06-30 |
| 1649684077 | Kalpit Himmatbhai Devani | Internal Medicine | 890 W Faris Rd Ste 100, Greenville, SC 29605-4285 | 2014-06-13 |
| 1649690637 | Nannaya Jampala | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2014-04-17 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on MRS. RAETTA B FOUNTAIN.
| 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.