DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER (NPI# 1811194731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811194731 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER |
| Practice Address |
508 Fulton St # 117c Va Medical Center Mrs. Demetri Durham NC 27705-3875 |
| Mailing Address |
Po Box 61403 Raleigh NC 27661-1403 |
| Practice Telephone | 9192860411 |
| Mailing Telephone | 9192860411 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | MRS. JEAN WIPPERMAN (REHABILITATION COORDINATOR) |
| Authorized Official Telephone | 9192860411 |
| Authorized Official Credential | LRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 816 | NC | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194983379 | Department of Veterans Affairs Medical Center | Military Hospital | 520 Chanticlar Ct, Newport News, VA 23608-1670 | 2008-05-25 |
| 1427495779 | Department of Veterans Affairs Medical Center | Nursing Care | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2013-05-28 |
| 1508041559 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 7525 Greenway Center Dr, Suite Number T4, Greenbelt, MD 20770-3509 | 2008-01-08 |
| 1346423985 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-12-05 |
| 1285827394 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2007-08-22 |
| 1063594885 | Department of Veterans Affairs Medical Center | Long Term Care Hospital | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2006-10-20 |
| 1679595763 | Department of Veterans Affairs Medical Center | Clinic/Center | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-07-24 |
| 1487699187 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2006-06-17 |
| 1326082090 | Department of Veterans Affairs Medical Center | Special Hospital | 4815 N Assembly St, Spokane, WA 99205-6185 | 2006-06-15 |
| 1962441824 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-06-06 |
| Street Address |
508 FULTON ST # 117C VA MEDICAL CENTER MRS. DEMETRI |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374314 | Tiffany Sheree Smith | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-23 |
| 1528667243 | Rashonna Avery | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-23 |
| 1992304745 | Kendra Darcel Monden | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-22 |
| 1033718895 | Erica Dickens | Music Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-22 |
| 1326647181 | Abena Kai Jones-boone | Recreation Therapist | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2020-10-22 |
| 1740459361 | Demetris Devane Mcleod | Military Health Care Provider | 508 Fulton St # 117c, Durham, NC 27705-3875 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508886516 | Detlev Erdmann | Military Hospital | Baker House Duke Rm 131, Duke Uuniversity Medical Center, Durham, NC 27710-0001 | 2006-07-20 |
| 1699173211 | Annie Jayanth | Military Hospital | 508 Fulton St, Durham, NC 27705-3875 | 2014-12-12 |
| 1720251275 | Durham Vamc | Military Hospital | Duke University Medical Center, Erwin Rd, Durham, NC 27710-0001 | 2008-04-04 |
| 1407028400 | Durham Va Medical Center | Military Hospital | 508 Fulton St, Durham, NC 27705-3875 | 2008-03-31 |
| 1063597193 | Edward Everett Anderson | Military Hospital | 508 Fulton St, Durham, NC 27705-3875 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861867293 | Womack Army Medical Center | Military Hospital | 2817 Reily Road, Fort Bragg, NC 28317 | 2015-12-10 |
| 1083777460 | Tyler Vachon | Military Hospital | Mcas Nr Mag 29 Gas, As 100, Jacksonville, NC 28545-1034 | 2006-12-18 |
| 1275198848 | Louis Perez | Military Hospital | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-05-08 |
| 1194246256 | Laura Orlando | Military Hospital | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2017-06-29 |
| 1376091611 | W.g. Bill Hefner Vamc | Military Hospital | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2016-09-15 |
| 1205293958 | Jennifer E Porter | Military Hospital | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2016-01-26 |
| 1235594094 | Brittany A Lovett | Military Hospital | 2817 Reilly Road, Fort Bragg, NC 28310 | 2015-12-22 |
| 1871977074 | Us Department of Veterans Affairs | Military Hospital | 3040 Hammond Business Pl, Suite 105, Raleigh, NC 27603-3666 | 2015-07-17 |
| 1932451689 | Michelle Tomasa Roper | Military Hospital | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2012-10-04 |
| 1134425747 | Serena M Leung | Military Hospital | 100 Brewster Blvd, Building 15, Camp Lejeune, NC 28547-2538 | 2011-01-28 |
| 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.