TONI CHAGOLLA OXENDINE (NPI# 1740417906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740417906 |
| Entity Type | Individual |
| Full Name | TONI CHAGOLLA OXENDINE |
| Credential | M.D. |
| Practice Address |
923 W 3rd St Pembroke NC 28372-9628 |
| Mailing Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
| Practice Telephone | 9105210564 |
| Practice Fax Number | 9105218091 |
| Mailing Telephone | 9102723048 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2013-01392 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2013-01392 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | COVENTRY/WELLPATH | 1740417906 | 01 |
| NC | FIRSTCAROLINACARE | FH1101500 | 01 |
| NC | 1740417906 | 05 | |
| NC | BCBSNC | 1740417906 | 01 |
| NC | UNITEDHEALTHCARE | 1740417906 | 01 |
| NC | HEALTHNET/TRICARE | 1740417906 | 01 |
| NC | AETNA PROVIDER NUMBER | 5647743 | 01 |
| NC | MEDCOST | 1740417906 | 01 |
| NC | CIGNA | 1740417906 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 511 Lauchwood Dr, Laurinburg, NC 283525502 | 9105064682 | 9105064729 |
| Street Address |
923 W 3RD ST |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-9628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794384 | James Earl West | Internal Medicine | 923 W 3rd St, Pembroke, NC 28372-9684 | 2005-07-18 |
| 1689172868 | Tyler Elliott Dial | Physician Assistant | 923 W 3rd St, Pembroke, NC 28372-9628 | 2018-01-23 |
| 1730559790 | Sean Buckley | Nurse Practitioner | 923 W 3rd St, Pembroke, NC 28372 | 2015-10-03 |
| 1104103779 | Christina O Mcmillan | Physical Therapist | 923 W 3rd St, Pembroke, NC 28372-9684 | 2011-11-10 |
| 1760769335 | Carol Locklear | Physical Therapy Assistant | 923 W 3rd St, Pembroke, NC 28372-9684 | 2011-11-10 |
| 1083991657 | Mallory Carter | Physical Therapy Assistant | 923 W 3rd St, Pembroke, NC 28372-9684 | 2011-11-10 |
| 1457637704 | Firsthealth of The Carolinas, Inc. | Clinic/Center | 923 W 3rd St, Firsthealth Center of Rehabilitation-pembroke, Pembroke, NC 28372-9684 | 2011-11-01 |
| 1215173059 | Shannon Leslie Hershberger | Physician Assistant | 923 W 3rd St, Pembroke, NC 28372-9628 | 2008-12-29 |
| 1003082769 | Trinity Urgent Care & Family Practice, Pllc | Clinic/Center | 923 W 3rd St, Suite A, Pembroke, NC 28372-9684 | 2008-05-02 |
| 1770650749 | Denene P. Smith | Nurse Practitioner | 923 W 3rd St, Pembroke, NC 28372-9628 | 2006-11-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332759 | Pembroke Medical Associates Inc | Internal Medicine | 15 Old West Elm St, Pembroke, MA 02359-1731 | 2020-09-28 |
| 1891794384 | James Earl West | Internal Medicine | 923 W 3rd St, Pembroke, NC 28372-9684 | 2005-07-18 |
| 1639472442 | Aniket Chakrabarti Md PC | Internal Medicine | 243 Church St, Suite E, Pembroke, MA 02359-1962 | 2010-12-16 |
| 1932282936 | Aniket Chakrabarti | Internal Medicine | 243 Church St, Suite E, Pembroke, MA 02359 | 2006-10-23 |
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|---|---|---|---|---|
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| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
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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.