DR. MICHAEL GENE KIDD (NPI# 1720087836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720087836 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GENE KIDD |
| Credential | M.D. |
| Practice Address |
2905 N Elm St Lumberton NC 28358-2982 |
| Mailing Address |
2905 N Elm St P O Box 2370 Lumberton NC 28358-2982 |
| Practice Telephone | 9107388154 |
| Practice Fax Number | 9106718818 |
| Mailing Telephone | 9107388154 |
| Mailing Fax Number | 9106718818 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 33076 | NC | Other Service Providers |
| N | 207L00000X | Anesthesiology | 33076 | NC | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
33076 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS/STATE | 48929 | 01 |
| NC | 8948929 | 05 | |
| SC | N33076 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619324209 | Michael Kidd | Occupational Therapist | 781 Black Oak Dr Ste 102, Medford, OR 97504-9501 | 2016-05-24 |
| 1295015881 | Michael J Kidd | Dental Hygienist | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2011-08-26 |
| 1093940736 | Michael T Kidd | Internal Medicine | 801 N 29th St, Billings, MT 59101 | 2009-05-26 |
| 1467614586 | Michael Arthur Kidd | Pharmacist | 2 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2008-06-30 |
| Street Address |
2905 N ELM ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906967 | Dora R Franzoni | Specialist | 2905 N Elm St, Lumberton, NC 28358-2982 | 2005-07-20 |
| 1174053904 | Carolina Eye Associates, Inc. | Ophthalmology | 2905 N Elm St, Lumberton, NC 28358-2982 | 2017-06-14 |
| 1952374217 | Lumberton Anesthesia Consultants, P.C. | Anesthesiology | 2905 N Elm St, Lumberton, NC 28358-2982 | 2006-02-08 |
| 1417937665 | Tamera Hixon | Anesthesiology | 2905 N Elm St, Lumberton, NC 28358-2982 | 2006-01-21 |
| 1881693992 | Jayne Patrice Maynor | Specialist | 2905 N Elm St, Lumberton, NC 28358-2982 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790220408 | Interventional Pain Center, Pllc | Anesthesiology | 4320 Fayetteville Rd, Suite A, Lumberton, NC 28358-2706 | 2017-01-04 |
| 1063815124 | Southeastern Regional Medical Center | Anesthesiology | 300 W 27th St, Lumberton, NC 28358-3075 | 2014-10-03 |
| 1003190638 | Southeastern Regional Medical Center | Anesthesiology | 300 W 27th St, Lumberton, NC 28358-3075 | 2011-09-30 |
| 1912126244 | Kailash Chandwani | Anesthesiology | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1598235830 | Mission Community Anesthesiology Specialists LLC | Anesthesiology | 89 Hospital Dr Ste C, Brevard, NC 28712-4838 | 2018-11-29 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1508347048 | Premier Pain Solutions Pllc | Anesthesiology | 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | 2018-08-23 |
| 1417434069 | Kyle Mason Fisher | Anesthesiology | Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 | 2018-07-26 |
| 1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1356898720 | Ketamine Wellness Institute | Anesthesiology | 414 Cosgrove Ave, Chapel Hill, NC 27514-5271 | 2016-09-02 |
| 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.