DR. PHILIP DALE MEADOR JR. (NPI# 1679634646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679634646 |
| Entity Type | Individual |
| Full Name | DR. PHILIP DALE MEADOR JR. |
| Credential | MD |
| Practice Address |
568 Ruin Creek Rd Suite 120 Henderson NC 27536-2880 |
| Practice Telephone | 2524922123 |
| Practice Fax Number | 2524360031 |
| Mailing Telephone | 2524922123 |
| Mailing Fax Number | 2524360031 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 17395 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 58290 | 01 |
| NC | 8958290 | 05 |
| Street Address |
568 RUIN CREEK RD SUITE 120 |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630301 | Hernan John Jimenez-medina | Physical Medicine & Rehabilitation | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2005-06-23 |
| 1285008235 | Kelly Gentry | Nurse Practitioner | 568 Ruin Creek Rd, Suite 003, Henderson, NC 27536-2880 | 2015-11-13 |
| 1306217450 | Terri Mcdowell | Nurse Practitioner | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2015-10-15 |
| 1215273628 | Dlp Maria Parham Physician Practices, LLC | Family Medicine | 568 Ruin Creek Rd, Suite 001, Henderson, NC 27536-2880 | 2012-12-13 |
| 1811274558 | Dlp Maria Parham Physician Practices, LLC | Internal Medicine | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2011-11-09 |
| 1730466475 | Dlp Maria Parham Physician Practices, LLC | Physical Medicine & Rehabilitation | 568 Ruin Creek Rd, Suite 006, Henderson, NC 27536-2880 | 2011-11-09 |
| 1801172820 | Dlp Maria Parham Physician Practices, LLC | Internal Medicine | 568 Ruin Creek Rd, Suite 006, Henderson, NC 27536-2880 | 2011-10-24 |
| 1386929628 | Maria Parham Anesthesia and Physiatry Center Inc | Internal Medicine | 568 Ruin Creek Rd, Suite 102, Henderson, NC 27536-2880 | 2011-10-19 |
| 1750556791 | Richard A. Goldstein, M.d. | Audiologist-Hearing Aid Fitter | 568 Ruin Creek Rd, Suite 003, Henderson, NC 27536-5921 | 2008-04-29 |
| 1487832754 | Maria Parham Anesthesia and Physiatry Center, Inc | Anesthesiology | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942343900 | Woodson Dermatology | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2007-02-15 |
| 1134289762 | Curt P Samlaska | Dermatology | 2839 St Rose Pkwy, Suite #100, Henderson, NV 89052 | 2006-12-12 |
| 1558444729 | Bettencourt Skin Center LLC | Dermatology | 601 Whitney Ranch Dr Bldg C Ste 13, Henderson, NV 89014-2643 | 2006-10-23 |
| 1609866078 | Juian-juian L Fu | Dermatology | 861 Coronado Center Dr Ste 100, Henderson, NV 89052-3992 | 2005-10-26 |
| 1396210316 | Thomas Dermatology | Dermatology | 866 Seven Hills Dr Ste 201, Henderson, NV 89052-4376 | 2018-10-05 |
| 1124436480 | Leavitt Medical Associates of Nevada PC | Dermatology | 1701 N Green Valley Pkwy, Suite 7b, Henderson, NV 89074-5885 | 2014-07-30 |
| 1346585866 | Adam Christopher Harkiewicz | Dermatology | 861 Coronado Center Dr Ste 100, Henderson, NV 89052-3992 | 2012-12-10 |
| 1891048104 | J. Woodson Dermatology & Associates | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2012-10-24 |
| 1316201726 | Henderson Dermatology and Skin Cancer Inc | Dermatology | 2960 Saint Rose Pkwy, Suite 120, Henderson, NV 89052-4447 | 2012-06-29 |
| 1780727750 | Johnnie M. Woodson Jr. | Dermatology | 229 N Pecos Rd Ste 100, Henderson, NV 89074-7364 | 2007-02-15 |
| Find all providers in HENDERSON | ||||
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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.