DR. PABLO OSCAR MEDINA JR. (NPI# 1689841876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689841876 |
Entity Type | Individual |
Full Name | DR. PABLO OSCAR MEDINA JR. |
Credential | M.D. |
Practice Address |
2684 Woodruff St Fort Bragg NC 28310-0001 |
Practice Telephone | 9105703153 |
Mailing Telephone | 9105703153 |
Enumeration Date | 2008-05-15 |
Last Update Date | 2020-04-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
0101247764 | VA | Allopathic & Osteopathic Physicians |
Street Address |
2684 WOODRUFF ST |
City | FORT BRAGG |
State | NC |
Zip Code | 28310-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
Find all providers in zip 28310 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366535890 | Andrea Mccullough | Emergency Medicine | 700 River Dr, Fort Bragg, CA 95437-5403 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487142105 | Sidney B Mccall | Emergency Medicine | 817 N Spence Ave, Goldsboro, NC 27534-4267 | 2018-04-27 |
1538664099 | Unc Rockingham Health Care, Inc. | Emergency Medicine | 6701 Nc Highway 135, Mayodan, NC 27027-8487 | 2018-03-27 |
1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
1073916003 | Christopher Leber | Emergency Medicine | 800 Holly St, Aberdeen, NC 28315-3102 | 2014-10-05 |
1194153569 | Morehead Memorial Hospital | Emergency Medicine | 6701b Nc Hwy 135, Mayodan, NC 27027-8487 | 2013-10-23 |
1376980417 | Beatty Medical Consulting, PC | Emergency Medicine | 9507 Brandemere Ct, Charlotte, NC 28210-1027 | 2013-05-30 |
1598703290 | Town of Morehead City | Emergency Medicine | 4034 Arendell St, Morehead City, NC 28557-2925 | 2006-06-03 |
1679524193 | Gwendolyn Ruth Whitley | Emergency Medicine | 257 Branchwood Cir Ne, Concord, NC 28025-3103 | 2006-05-12 |
1801844436 | Piedmont Urgent Care of N.c | Emergency Medicine | 2972 N Center St, Hickory, NC 28601-1159 | 2006-05-05 |
1417916271 | Richard Lequeux Bradner | Emergency Medicine | 9720 S Tryon St, Charlotte, NC 28273-6578 | 2006-03-21 |
Find all providers with the same taxonomy |
City | FORT BRAGG |
Zip Code | 28310 |
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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.