GOLDSBORO PAIN MEDICINE, PLLC (NPI# 1669511143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669511143 |
| Entity Type | Organization |
| Organization Name | GOLDSBORO PAIN MEDICINE, PLLC |
| Practice Address |
1208 Parkway Dr Ste C Goldsboro NC 27534-9432 |
| Practice Telephone | 9197518444 |
| Practice Fax Number | 9197510890 |
| Mailing Telephone | 9197518444 |
| Mailing Fax Number | 9197510890 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RONALD MORGAN LONG (OWNER) |
| Authorized Official Telephone | 9197518444 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 107402 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1208 PARKWAY DR STE C |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407905813 | Robert Cayton Moore | Social Worker | 1208 Parkway Dr Ste C, Goldsboro, NC 27534-9432 | 2007-01-09 |
| 1467823179 | Stephanie Bourne Mckithan | Nurse Practitioner | 1208 Parkway Dr Ste C, Goldsboro, NC 27534-9432 | 2015-10-08 |
| 1093091910 | Tiffani Ann Hoefer | Physician Assistant | 1208 Parkway Dr Ste C, Goldsboro, NC 27534-9432 | 2011-10-24 |
| 1295886497 | Eastern Regional Pain Specialists, P.a. | Durable Medical Equipment & Medical Supplies | 1208 Parkway Dr Ste C, Goldsboro, NC 27534-9432 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750761409 | Nicole Maree Rice | Neuromusculoskeletal Medicine & OMM | 690 Sunset Blvd N Ste 109, Sunset Beach, NC 28468-5610 | 2015-06-08 |
| 1912021692 | Carteret Pain Medicine, Pllc | Neuromusculoskeletal Medicine & OMM | 5053 Executive Dr Ste B, Morehead City, NC 28557-2506 | 2007-03-19 |
| 1114944907 | Eric J Rentz | Neuromusculoskeletal Medicine & OMM | 100 Honey Bear Ln, Banner Elk, NC 28604-6802 | 2006-07-16 |
| 1184667883 | James Bryan Cox | Neuromusculoskeletal Medicine & OMM | 721 D Malcolm Blvd, Rutherford College, NC 28671-2867 | 2006-06-13 |
| 1942257118 | The Andersen Clinic PC | Neuromusculoskeletal Medicine & OMM | 5045 Hendersonville Rd, Fletcher, NC 28732-6606 | 2006-05-31 |
| 1396706156 | Charles Hubert Hutchins | Neuromusculoskeletal Medicine & OMM | 750 Cox Rd, Gastonia, NC 28054-3481 | 2006-03-31 |
| 1245870484 | Compass Functional Medicine Pllc | Neuromusculoskeletal Medicine & OMM | 3706 Morganton Rd, Fayetteville, NC 28303-4963 | 2020-01-15 |
| 1528404415 | Johnston Specialty Physician Services, Inc. | Neuromusculoskeletal Medicine & OMM | 507 N Brightleaf Blvd, Suite 100, Smithfield, NC 27577-4405 | 2013-05-17 |
| 1689019259 | Ecu Medicine Neurology Services | Neuromusculoskeletal Medicine & OMM | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2013-05-08 |
| 1063708378 | Megan P. Johnson | Neuromusculoskeletal Medicine & OMM | 214 E Elm St, Graham, NC 27253-3022 | 2011-06-24 |
| 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.