P. VANCE PREWITT (NPI# 1811051816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811051816 |
| Entity Type | Individual |
| Full Name | P. VANCE PREWITT |
| Other Name | PRO V PREWITT III |
| Credential | M.D. |
| Practice Address |
402 E 4th St Laurel DE 19956-1552 |
| Practice Telephone | 3028754411 |
| Mailing Telephone | 3028754411 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C10002606 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1811051816 | 05 |
| Street Address |
402 E 4TH ST |
| City | LAUREL |
| State | DE |
| Zip Code | 19956-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021911 | Arlene Patricia Wood | Counselor | 517 Willow Street, Laurel, DE 19956 | 2018-01-12 |
| 1356897094 | Abigail Siple | Speech-Language Pathologist | 1160 South Central Ave, Laurel, DE 19956 | 2016-09-01 |
| 1750739207 | Erin Johnson | Specialist/Technologist | 14323 Laurel Rd, Laurel, DE 19956 | 2016-05-25 |
| 1922192434 | Antonio Pedro | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-02 |
| 1043311095 | Shellene Marie Ball | Psychologist | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-09-25 |
| 1972670479 | Janice M Mccandless Bruce | Registered Nurse | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-11-29 |
| 1093800401 | Odilon Claravall | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-03 |
| 1396804829 | Laurel Senior Center, Inc. | Psychologist | 113 N. Central Ave., Laurel, DE 19956-0064 | 2006-12-08 |
| 1326174699 | Kathy Guthrie | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2007-02-23 |
| 1588984769 | Raffaela Ballard | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2010-06-10 |
| Find all providers in zip 19956 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407499452 | Julius Atemafac | Family Medicine | 13944 Baltimore Ave Ste 102, Laurel, MD 20707-5000 | 2019-10-22 |
| 1679050462 | Nicole K Dennis | Family Medicine | 9260 Canterbury Riding, Laurel, MD 20723-1425 | 2018-07-24 |
| 1073051892 | Carol Richardson | Family Medicine | 103 S 12th Ave, Laurel, MS 39440-4322 | 2017-02-01 |
| 1558713511 | Calhoun Medical Clinic, LLC | Family Medicine | 5135 Hwy 84w, Laurel, MS 39443 | 2016-07-01 |
| 1700215399 | Komal A Malik, Md, PC | Family Medicine | 8315 Cherry Ln, Laurel, MD 20707-4830 | 2013-11-05 |
| 1982998209 | Sarah Zaheer | Family Medicine | Centennial Medical Group, 10981 Johns Hopkins Road, Laurel, MD 20723 | 2011-06-03 |
| 1073832044 | Kaveh Sadeghi | Family Medicine | 14113 Baltimore Ave Ste A, Laurel, MD 20707 | 2010-05-28 |
| 1730339995 | Komal A. Malik | Family Medicine | 8315 Cherry Lane, Laurel, MD 20707 | 2008-09-24 |
| 1427218577 | Samuel J. Recob | Family Medicine | 218 E 2nd St, Laurel, NE 68745-1989 | 2008-06-12 |
| 1730204256 | Joyce E. Stout, Md, Pa | Family Medicine | 116 E Front St Ste C, Laurel, DE 19956-1722 | 2007-03-21 |
| Find all providers in LAUREL | ||||
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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.