ECU MEDICINE NEUROLOGY SERVICES (NPI# 1689019259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689019259 |
| Entity Type | Organization |
| Organization Name | ECU MEDICINE NEUROLOGY SERVICES |
| Practice Address |
2280 Hemby Ln Greenville NC 27834-3773 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527449400 |
| Practice Fax Number | 2527449401 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DR. JASON A FOLTZ (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2527441882 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| Street Address |
2280 HEMBY LN |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-3773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368936 | Susan B Boutilier | Psychiatry & Neurology | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2005-06-30 |
| 1164827416 | Jenna Aldridge | Nurse Practitioner | 2280 Hemby Ln, Ecu Physicians Neurology, Greenville, NC 27834-3773 | 2014-10-29 |
| 1922347749 | Kristie Michelle Du Sablon | Physician Assistant | 2280 Hemby Ln, Ecu Physicians Neurology, Greenville, NC 27834-3773 | 2013-02-14 |
| 1629322987 | Bushra Javed | Psychiatry & Neurology | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2012-11-07 |
| 1013212158 | Felicia R. Richardson | Nurse Practitioner | 2280 Hemby Ln, Ecu Physicians Neurology, Greenville, NC 27834-3773 | 2011-01-21 |
| 1669772539 | Jared Noroozi | Psychiatry & Neurology | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2010-10-26 |
| 1477874618 | Jessica Danison | Psychiatry & Neurology | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2010-06-22 |
| 1548582596 | East Carolina Neurology | Clinical Neuropsychologist | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2010-02-18 |
| 1922330901 | Meagan A Holcomb | Nurse Practitioner | 2280 Hemby Ln, Ecu Physicians Neurology Services, Greenville, NC 27834-3773 | 2010-02-02 |
| 1114168358 | Frances Li Smith | Physician Assistant | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2009-03-18 |
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| 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 | 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 |
|---|---|---|---|---|
| 1366720369 | Rebecca J Bowers | Neuromusculoskeletal Medicine & OMM | 4006 E North St, Ste C, Greenville, SC 29615-6206 | 2011-07-26 |
| 1871539049 | Gregory Thomas Gardziola | Neuromusculoskeletal Medicine & OMM | 200 Patewood Dr, Suite B350, Greenville, SC 29615-3593 | 2006-06-22 |
| 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 |
| 1063708378 | Megan P. Johnson | Neuromusculoskeletal Medicine & OMM | 214 E Elm St, Graham, NC 27253-3022 | 2011-06-24 |
| 1952626384 | Blue Ridge Healthcare Medical Group, Inc | Neuromusculoskeletal Medicine & OMM | 301 Linville Street, Glen Alpine, NC 28628 | 2010-03-29 |
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| City | GREENVILLE |
| Zip Code | 27834 |
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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.