DR. MANUEL EULYSSES IZQUIERDO (NPI# 1871972877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871972877 |
| Entity Type | Individual |
| Full Name | DR. MANUEL EULYSSES IZQUIERDO |
| Credential | D.O. |
| Practice Address |
2100 Stantonsburg Rd Greenville NC 27834-2818 |
| Practice Telephone | 2527440750 |
| Practice Fax Number | 2527440392 |
| Mailing Telephone | 2527440750 |
| Mailing Fax Number | 2527440392 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2018-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
2017-00218 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225063662 | Manuel Alberto Izquierdo | Chiropractor | 140a Bridges Rd, Live Well Chiropractic, Mauldin, SC 29662 | 2006-07-12 |
| Street Address |
2100 STANTONSBURG RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802077 | Leanna F. Thorn | Emergency Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2005-06-23 |
| 1891394557 | Schuyler Geaslen Williams | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-10-22 |
| 1477169084 | Denise Harper | Clinical Nurse Specialist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-18 |
| 1548874068 | Ileen Craven | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-02 |
| 1790397990 | Randi Elizabeth Caruso | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-19 |
| 1184236333 | Emily Merritt | Pharmacist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-19 |
| 1467063107 | Smit Rajput | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-15 |
| 1558971044 | Kyle Travlos | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1114537693 | Ryan Austin Wagner | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1790395283 | Clayton Adams | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1992746143 | David A Goff | Internal Medicine | 600 Moye Blvd. 3e-139 Brody Medical Bld., Brody School of Medicine, Ecu, Greenville, NC 27834 | 2006-06-09 |
| 1467081182 | Caleigh Kendall Cole | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-04-04 |
| 1033300215 | Praveena Cheruvu | Internal Medicine | 1111 Sweitzer St, Suite C, Greenville, OH 45331 | 2007-08-05 |
| 1467551788 | Jeffrey Austin Gerac | Internal Medicine | 701 Grove Rd, 5th Floor, Greenville, SC 29605-5611 | 2006-09-22 |
| 1326032046 | Anne Elizabeth Borwick | Internal Medicine | 201 Health Care Dr, Greenville, IL 62246-1155 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043476922 | Harishchandra Mahaseth | Internal Medicine | 1138 Kingston Grove Drive, Cary, NC 27519 | 2008-07-31 |
| 1386658128 | Awawu Ekinadoese Igbinadolor | Internal Medicine | 701 E Roosevelt Blvd Ste 800a, Monroe, NC 28112-5187 | 2006-07-28 |
| 1205896768 | Kumar Internal Medicine Assoc. P.a. | Internal Medicine | 108 N Englewood Dr, Rocky Mount, NC 27804-2416 | 2006-03-27 |
| 1588644157 | Gilbert Alligood | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2006-01-19 |
| 1104819754 | Shelby Medical Associates, Pa | Internal Medicine | 711 N Dekalb St, Shelby, NC 28150-3911 | 2005-08-30 |
| 1992085989 | Catawba Valley Medical Center | Internal Medicine | 105 S Main Ave, Suite B, Newton, NC 28658-3360 | 2011-08-22 |
| 1851683395 | Anwaar Ahmed Khan | Internal Medicine | 2920 Highwoods Blvd, Raleigh, NC 27604-0010 | 2011-05-03 |
| 1033237110 | Gabriel A Kyerematen | Internal Medicine | 1300 Western Blvd, Raleigh, NC 27606-2148 | 2007-03-27 |
| 1770601957 | Vincent C Igboekwe | Internal Medicine | 1300 Western Blvd, Raleigh, NC 27606-2148 | 2007-03-27 |
| 1336219153 | Gerry Cabalo II | Internal Medicine | 245 Winklers Creek Road, Suite C, Boone, NC 28607-7838 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.