Ronald Wade Cottle (NPI# 1558334201, PAC ID# 3476611351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1558334201 |
PAC ID by PECOS | 3476611351 |
Professional Enrollment ID | I20081021000729 |
Full Name | Ronald Wade Cottle |
Organization Legal Name | BLADEN HEALTHCARE LLC |
Address |
88 E Green St Clarkton NC 28433-5003 |
Phone Number | 9108621217 |
Gender | M |
Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
Graduation Year | 1983 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 6800967969 |
Number of Group Practice Members | 53 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
341315 | CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL |
340068 | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
Address | Phone | Organization |
---|---|---|
88 E Green St, Clarkton, NC 28433-5003 | 9108621217 | BLADEN HEALTHCARE LLC |
Organization Legal Name | BLADEN HEALTHCARE LLC |
Physicians | 25 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jose Gerardo Vergara | Internal Medicine | Bladen Healthcare LLC | 16 3rd St, Dublin, NC 28332-8903 |
Ashley Billups Marlowe | Nurse Practitioner | Bladen Healthcare LLC | 300 Ae Mckay St, Elizabethtown, NC 28337-9037 |
Bryan K Monroe | Nurse Practitioner | Bladen Healthcare LLC | 107 E Dunham St, Elizabethtown, NC 28337-4300 |
Shelley Brown | Nurse Practitioner | Bladen Healthcare LLC | 1106 W Seaboard St, Bladenboro, NC 28320-6985 |
Shakonda L Strayhorn | Obstetrics/gynecology | Bladen Healthcare LLC | 300 Mckoy St, Elizabethtown, NC 28337-9011 |
Briana G Graham | Physician Assistant | Bladen Healthcare LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
Robert L Rich Jr. | Family Medicine | Bladen Healthcare LLC | 300 Ae Mckay St, Elizabethtown, NC 28337-9037 |
Larry J Yoder | Certified Registered Nurse Anesthetist (crna) | Bladen Healthcare LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
Pearly Graham-hoskins | Internal Medicine | Bladen Healthcare LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
Crystal R Newton | Nurse Practitioner | Bladen Healthcare LLC | 16 3rd St, Dublin, NC 28332-8903 |
Street Address |
88 E GREEN ST |
City | CLARKTON |
State | NC |
Zip | 28433-5003 |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven K Jernigan | Nurse Practitioner | Southeastern Regional Physician Services | 9858 Wr Lathan Dr, Clarkton, NC 28433-9255 |
City | CLARKTON |
Zip Code | 28433 |
Specialty | FAMILY MEDICINE |
City + Specialty | CLARKTON + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.