JONATHAN PAN


Address: 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345
Phone: 9106629300

JONATHAN PAN (NPI# 1831576255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831576255
Entity Type Individual
Full Name JONATHAN PAN
Credential M.D.
Practice Address 1725 New Hanover Medical Park Dr
Wilmington
NC 28403-5345
Mailing Address 2131 S 17th St
Wilmington
NC 28401-7407
Practice Telephone 9106629300
Practice Fax Number 9106629301
Mailing Telephone 9106679294
Enumeration Date 2015-05-06
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 2020-00376 NC Allopathic & Osteopathic Physicians
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
2020-00376 NC Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
0116032149 VA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1250 E Marshall St, Richmond, VA 232985051 8048289711
2131 S 17th St, Wilmington, NC 284017407 9106679294
Wake Forest Baptist Medical Ctr, Graduate Medical Education Office, Winston Salem, NC 271570001 3367163465

Other Providers JONATHAN PAN

NPI Name Taxonomy Address Enumeration
1457842221 Jonathan Andrew Pan Student in an Organized Health Care Education/Training Program 1215 Lee St, Charlottesville, VA 22908-0816 2018-05-28
1326481565 Jonathan Pan Internal Medicine 1100 Walnut St, 3rd Floor, Philadelphia, PA 19107-5563 2013-04-08
1578725123 Jonathan Pan Anesthesiology 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 2008-06-25

Office Location

Street Address 1725 NEW HANOVER MEDICAL PARK DR
City WILMINGTON
State NC
Zip Code 28403-5345

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134189046 Wilmington Cardiology Pllc Internal Medicine 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2006-03-24
1801356282 Matthew R Merrill Nurse Practitioner 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2019-03-22
1376037549 Brandon Montana Family Medicine 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2018-06-20
1538614151 Carson Lee Antis Physician Assistant 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2016-08-24
1164893798 Cape Fear Physician Services Internal Medicine 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-10-08
1982075511 Cape Fear Physician Services Inc. Surgery 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-10-08
1699146225 Cape Fear Physician Services Inc. Nurse Practitioner 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-10-08
1881065415 Cape Fear Physician Services Inc. Oral & Maxillofacial Surgery 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2015-10-08
1700017209 Jan Thomas Clemmons Nurse Practitioner 1725 New Hanover Medical Park Dr, Wilmington, NC 28403-5345 2009-07-31
1376702811 Chukwuemeka Obiora Surgery 1725 New Hanover Medical Park Dr, Wilmington, NC 28403 2008-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902413875 Ymca of Southeastern Nc Health Educator 2710 Market Street, Wilmington, NC 28403 2020-09-25
1659917334 Noa Alper Occupational Therapist 5412 Old Garden Road, Wilmington, NC 28403 2019-11-18
1992346340 Nancy Rosita Carson Technician 5608 Locke Str. Apt 108, Wilmington, NC 28403 2019-10-07
1912484585 Jennifer Nicole Perry Behavior Technician 349 Campus Cv, Wilmington, NC 28403 2018-07-25
1386159929 Monumental Foundations LLC Clinic/Center Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 2017-12-05
1114445731 Jacqulyn Craichy Speech-Language Pathologist 75 Cavalier Drive, Wilmington, NC 28403 2017-09-04
1730638545 Ashley Mcneil Durable Medical Equipment & Medical Supplies 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 2016-09-22
1306204276 Valerie Pringle Jones Physical Therapist 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 2016-02-05
1689039992 Lifeline Treatment Center Clinic/Center 5710 Oleander Dr Ste 100, Wilmington, NC 28403 2015-12-31
1750758264 Melissa Beatson Speech-Language Pathologist 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 2015-09-01
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184717183 John W Sanders IIi Internal Medicine 2310 Delaney Rd, Wilmington, NC 28403-6013 2006-10-02
1407834229 Susan Szabo Internal Medicine 1400 N Washington St, Wilmington, DE 19801-1024 2006-01-03
1518250828 William Patrick Mazur Internal Medicine 1400 N Washington St, Wilmington, DE 19801-1024 2011-05-19
1477768182 Gina Marie Berthold Internal Medicine 2421 Silver Stream Ln, Atten Credentialing, Wilmington, NC 28401-7684 2007-05-14
1124114178 Aman J Pathak Internal Medicine 2310 Delaney Rd, Wilmington, NC 28403-6013 2006-10-05
1528154473 Coastal Infectious Disease Consultants Internal Medicine 2310 Delaney Rd, Wilmington, NC 28403-6013 2006-10-05
1326133794 Richard F. Trotta Internal Medicine 1705 Gardner Dr, Wilmington, NC 28405-8873 2006-10-03
1922100023 Kirsten Andrea Hauer Internal Medicine 3301 Lancaster Pike, Suite 9, Wilmington, DE 19805 2006-09-01
1235247214 Dena Daybell Internal Medicine 1202 Medical Center Dr, Wilmington, NC 28401-7307 2006-08-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013419316 Novant Medical Group, Inc. Internal Medicine 1450 Matthews Township Parkway Ste 280, Matthews, NC 28105-5331 2018-03-02
1023518909 Stephanie Nicole Dixon Internal Medicine 301 E Wendover Ave Ste 111, Greensboro, NC 27401-1209 2018-02-16
1003332016 Novant Medical Group Inc Internal Medicine 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 2017-08-22
1003202268 Heather Root Internal Medicine 2118b Bioinformatics Building 130 Mason Farm Rd Cb 7030, Chapel Hill, NC 27599 2015-04-14
1689064396 Michael Sciaudone Internal Medicine 130 Mason Farm Rd Cb 7030, 2115 Bioinformatics Building, Chapel Hill, NC 27599 2015-02-02
1790198596 Robert C Pease Internal Medicine William B Aycock Bldg 590 Manning Drive Cb 7595, Chapel Hill, NC 27599 2014-06-09
1447698089 Emily Jane Ciccone Internal Medicine 230 Macnider Hl, Cb#7593, Chapel Hill, NC 27599-0001 2013-06-05
1255694626 Carlos A. Duchesne Internal Medicine 8505 Waterchase Ct, Raleigh, NC 27613-6273 2012-06-20
1619243037 Nicholas Andrew Turner Internal Medicine 40 Duke Medicine Cir # 1k, Durham, NC 27710-6155 2012-03-29
1780977215 Erin Whitney Barnes Internal Medicine Section of Infectious Disease, Medical Center Boulevard, Winston Salem, NC 27157-0001 2011-05-17
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Competitor

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City WILMINGTON
Zip Code 28403

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Dataset Information

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.

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