IGNACIO NMI CABEZUDO (NPI# 1538161864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538161864 |
Entity Type | Individual |
Full Name | IGNACIO NMI CABEZUDO |
Credential | MD |
Practice Address |
Cherry Hospital 1401 West Ash Street Goldsboro NC 27530-1078 |
Practice Telephone | 9199478236 |
Practice Fax Number | 9197055140 |
Mailing Telephone | 9199478236 |
Mailing Fax Number | 9197055140 |
Enumeration Date | 2005-05-31 |
Last Update Date | 2020-10-22 |
NPI Deactivation Date | 03/20/2006 |
NPI Reactivation Date | 2006-04-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 2013-02327 | NC | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 29743 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 636293 | 05 |
Street Address |
CHERRY HOSPITAL 1401 WEST ASH STREET |
City | GOLDSBORO |
State | NC |
Zip Code | 27530-1078 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497101497 | Anna Teal Steffan | Student in an Organized Health Care Education/Training Program | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2016-05-09 |
1770939993 | Keri D. Metcalf | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2016-05-06 |
1811362403 | Alice W Munyua | Nurse Practitioner | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2015-12-08 |
1881081636 | Jaclyn Ashley Elliott | Physician Assistant | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2015-04-20 |
1801201991 | Gladys Bochere Matongo | Registered Nurse | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-06-26 |
1649680166 | Jonathan Gregory Napier | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-05-06 |
1629498282 | Brian Edward Moore Jr. | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash St, Goldsboro, NC 27512 | 2014-04-22 |
1205256294 | Jennifer Asheton Ingersoll | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2014-04-17 |
1255762696 | Desmina Ayodele Friday | Psychiatry & Neurology | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2013-12-11 |
1598003147 | Melissa N. Cruz | Nurse Practitioner | Cherry Hospital, 1401 West Ash Street, Goldsboro, NC 27530-1078 | 2013-01-16 |
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1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.