JEFFREY B. PUPP (NPI# 1831108869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831108869 |
| Entity Type | Organization |
| Organization Name | JEFFREY B. PUPP |
| Practice Address |
1602 Doctors Cir Wilmington NC 28401-7406 |
| Practice Telephone | 9103438889 |
| Practice Fax Number | 9103439990 |
| Mailing Telephone | 9103438889 |
| Mailing Fax Number | 9103439990 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | JEFFREY B PUPP (OWNER) |
| Authorized Official Telephone | 9103438889 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
230 | NC | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
449 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890231R | 05 | |
| NC | BCBS NC | 0231R | 01 |
| NC | RAILROAD MEDICARE PTAN | CC3025 | 01 |
| NC | MEDICARE PTAN | 2432650 | 01 |
| NC | MEDCOST | B1115 | 01 |
| Street Address |
1602 DOCTORS CIR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497722672 | Kevin Gregory Bachman | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-03-07 |
| 1437629847 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2018-11-28 |
| 1487952800 | Linda M Wolley | Nutritionist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2011-03-09 |
| 1205885159 | Coastal Carolina Foot & Ankle Associates Pa | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-05-09 |
| 1497723324 | Jeffrey Bruce Pupp | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184808347 | Dr Lesly Robinson Dpm | Podiatrist | 4011 N Market Street, Wilmington, DE 19802 | 2007-12-24 |
| 1003097395 | Richard R. Recko D.p.m., Pa | Podiatrist | 1776 Wellington Ave, Suite 1, Wilmington, NC 28403-6075 | 2007-11-15 |
| 1356365761 | Richard R. Recko | Podiatrist | 1776 Wellington Ave Suite 1, Wilmington, NC 28403-6075 | 2006-07-27 |
| 1528080389 | Robert Brian O Malley | Podiatrist | 1505 Medical Center Drive, Wilmington, NC 28401 | 2006-07-24 |
| 1134168214 | Edwin Britt Martin IIi | Podiatrist | 5305 Wrightsville Ave, Bld. L, Wilmington, NC 28403-6507 | 2006-06-05 |
| 1588602080 | Joseph A Ciampoli | Podiatrist | 4512 Kirkwood Highway Suite 203, Wilmington, DE 19808 | 2006-06-04 |
| 1104815927 | Kevin Brady | Podiatrist | 1705 Gardner Dr, Wilmington, NC 28405 | 2005-10-14 |
| 1215922349 | Foot Care Group, P.a. | Podiatrist | 1601 Milltown Rd, Suite 24, Wilmington, DE 19808-4027 | 2005-09-14 |
| 1437629847 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1602 Doctors Cir, Wilmington, NC 28401-7406 | 2018-11-28 |
| 1417469503 | Ankle and Foot Surgical Associates | Podiatrist | 701 N Clayton St Ste 400, Wilmington, DE 19805-3165 | 2017-10-29 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on JEFFREY B. PUPP.
| 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.