DR. PABLO OSCAR MEDINA JR.


Address: 2684 Woodruff St, Fort Bragg, NC 28310-0001
Phone: 9105703153

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
0101247764 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 2684 WOODRUFF ST
City FORT BRAGG
State NC
Zip Code 28310-0001

Providers in the same zip code

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 Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366535890 Andrea Mccullough Emergency Medicine 700 River Dr, Fort Bragg, CA 95437-5403 2006-10-02

Providers in the same taxonomy and state

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

Competitor

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City FORT BRAGG
Zip Code 28310

Improve Information

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Dataset Information

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.

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