MEDICAL DIAGNOSTIC SERVICE INC (NPI# 1669419784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669419784 |
| Entity Type | Organization |
| Organization Name | MEDICAL DIAGNOSTIC SERVICE INC |
| Practice Address |
705 N. Ward Blvd. Suite A Wilson NC 27894 |
| Mailing Address |
P.o. Box 63 Wilson NC 27894 |
| Practice Telephone | 2522370848 |
| Practice Fax Number | 2522370848 |
| Mailing Telephone | 2522370848 |
| Mailing Fax Number | 2522370848 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-08-31 |
| Authorized Official Name | DR. MARK HOOPER (OWNER) |
| Authorized Official Telephone | 2522370848 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
705 N. WARD BLVD. SUITE A |
| City | WILSON |
| State | NC |
| Zip Code | 27894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043472996 | Kennette Renee Thigpen | Social Worker | 114 N Spruce St, Wilson, NC 27894-0111 | 2008-07-01 |
| 1437224151 | Wilson County Department of Social Services | Case Management | 100 Gold St Ne, Wilson, NC 27894-0459 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1316551633 | Keith Ryan Knudson | Physical Therapist | 1230 North Fall Creek Rd, Wilson, WY 83014 | 2020-09-03 |
| 1114531993 | Pathways Human Services of North Carolina, LLC | Counselor | 2835 Daisy Ln N Ste B, Wilson, NC 27896-6942 | 2020-08-31 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1881203768 | Kristen Edwards Dempsey | Registered Nurse | 4503 Pinehurst Dr N, Wilson, NC 27896-9003 | 2020-07-28 |
| 1255949905 | Caitlin Elizabeth Ciccone | Physical Therapist | 4010 N Lake Creek Dr, Unit C, Wilson, WY 83014-8301 | 2020-07-20 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| Find all providers in WILSON | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184884561 | Mcintyre Consulting, Inc | Specialist/Technologist, Other | 2402 Camden St Sw, Suite 500, Wilson, NC 27893-8608 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427597558 | Christopher Scott Corella | Specialist/Technologist, Other | 152 Spring Valley Dr, Raeford, NC 28376-5822 | 2017-02-22 |
| 1407206121 | Choice Neurodiagnostics, LLC | Specialist/Technologist, Other | 176 Mine Lake Ct, Ste 100, Raleigh, NC 27615-6417 | 2016-06-14 |
| 1972999431 | Bradlee Jerome Bray | Specialist/Technologist, Other | 435 Barrel Dr, Winterville, NC 28590-9338 | 2015-04-11 |
| 1255754800 | End, Inc. | Specialist/Technologist, Other | 2808 Ferrand Dr, Durham, NC 27705-1742 | 2014-01-31 |
| 1205179207 | Richard Bruce Hewett | Specialist/Technologist, Other | 609 Edgewater Dr, Belmont, NC 28012-9759 | 2013-03-28 |
| 1295390557 | Prime Nc Health, LLC | Specialist/Technologist, Other | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2019-05-02 |
| 1730551318 | Hillary Raker | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2015-10-22 |
| 1043612096 | William Simmons | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-09-22 |
| 1962803866 | David Schneider | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-09-10 |
| 1184032286 | Kristin Eccleton | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-08-01 |
| Find all providers with the same taxonomy | ||||
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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.