ANGELO TELLIS (NPI# 1922095520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922095520 |
| Entity Type | Individual |
| Full Name | ANGELO TELLIS |
| Credential | M.D. |
| Practice Address |
2111 Neuse Blvd. Suite J New Bern NC 28560-4317 |
| Practice Telephone | 2526360300 |
| Practice Fax Number | 2526360335 |
| Mailing Telephone | 2526360300 |
| Mailing Fax Number | 2526360335 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
9901050 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2111 NEUSE BLVD. SUITE J |
| City | NEW BERN |
| State | NC |
| Zip Code | 28560-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790747988 | Crystal Coast Pain Management Center, Pllc | Anesthesiology | 2111 Neuse Blvd. Suite J, New Bern, NC 28560 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898152 | Alec James Fields | Student in an Organized Health Care Education/Training Program | Cb 7121, 2086 Bondurant Hall, Chapel Hill, NC 28560 | 2020-10-09 |
| 1285270413 | Kelsey Miller | Social Worker | 2000 Doctor M.l.k. Jr Blvd, New Bern, NC 28560 | 2019-11-22 |
| 1568942399 | Siddharth Mourya | Physical Therapist | River Point Crest Nursing and Rehabilitation, 2600 Old Cherry Point Road, New Bern, NC 28560 | 2018-08-21 |
| 1194216713 | Genoa Healthcare, LLC | Pharmacy | 1309 Tatum Dr Ste 1, New Bern, NC 28560 | 2018-05-21 |
| 1134634561 | Eastern Carolina Young Men's Christian Association, Inc. | Health Educator | 100 Ymca Lane, New Bern, NC 28560 | 2017-12-07 |
| 1740725134 | Victoria Anne Sarbin | Audiologist | 2111 Neuse Blvd. Suite 1, New Bern, NC 28560 | 2016-12-21 |
| 1194193722 | Kriebel and Associates Pa | Clinic/Center | 3680 Neuse Blvd., New Bern, NC 28560 | 2015-09-14 |
| 1013308105 | Elizabeth Benton | Specialist | 3303 Highway 70 East, New Bern, NC 28560 | 2015-02-10 |
| 1386999068 | Allison Lang Snyder | Pharmacist | 1904 M L King Jr. Blvd., New Bern, NC 28560 | 2012-07-18 |
| 1144542606 | The Zannis Center for Plastic Surgery Pa | Clinic/Center | 2021 Neuse Blvd, New Bern, NC 28560 | 2010-02-24 |
| Find all providers in zip 28560 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114110509 | Coastal Orthopaedics & Spinal Surgery Pa | Physical Medicine & Rehabilitation | 612b Mccarthy Blvd, New Bern, NC 28562-5231 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1992160659 | Carolina Sports and Spine | Physical Medicine & Rehabilitation | 1700 Forest Hills Rd W, Wilson, NC 27893-3411 | 2015-12-23 |
| 1811399850 | Mitchell Bloom | Physical Medicine & Rehabilitation | Oak Branch Drive, Suite 7e, Greensboro, NC 27407-2380 | 2014-09-22 |
| 1881619005 | Fan Xi | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
| 1093753329 | Edward Anthony Overton | Physical Medicine & Rehabilitation | 10310 Mallard Creek Rd, Ste 101-c, Charlotte, NC 28262-9771 | 2006-06-02 |
| 1487632881 | Mark Allen Goodson | Physical Medicine & Rehabilitation | 114 Welton Way Ste A, Mooresville, NC 28117-9251 | 2006-01-05 |
| 1083696892 | Ronald Vandernoord | Physical Medicine & Rehabilitation | 710 Park Center Dr Ste 300, Matthews, NC 28105-5082 | 2005-11-17 |
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1619524097 | Novant Medical Group Inc | Physical Medicine & Rehabilitation | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
| 1467006197 | Southeastern Medical, Pa | Physical Medicine & Rehabilitation | 830 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2019-07-31 |
| 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.