Larry J Yoder (NPI# 1326046434, PAC ID# 4183680473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1326046434 |
| PAC ID by PECOS | 4183680473 |
| Professional Enrollment ID | I20041208000688 |
| Full Name | Larry J Yoder |
| Organization Legal Name | BLADEN HEALTHCARE LLC |
| Address |
501 S Poplar St Elizabethtown NC 28337-9375 |
| Phone Number | 9108625179 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1991 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6800967969 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 301311 | SPEARE MEMORIAL HOSPITAL |
| 490037 | RIVERSIDE SHORE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 501 S Poplar St, Elizabethtown, NC 28337-9375 | 9108625179 | BLADEN HEALTHCARE LLC |
| 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 7575942000 | NORTH AMERICAN PARTNERS IN ANESTHESIA (VIRGINIA), LLC |
| 16 Hospital Rd, Plymouth, NH 03264-1126 | 6035361120 | SPEARE MEMORIAL HOSPITAL |
| 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 |
| Ronald Wade Cottle | Family Medicine | Bladen Healthcare LLC | 88 E Green St, Clarkton, NC 28433-5003 |
| 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 |
| 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 |
501 S POPLAR ST |
| City | ELIZABETHTOWN |
| State | NC |
| Zip | 28337-9375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew P Sullivan | Emergency Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| John Frederick Penrose | Emergency Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Kenneth Charles Carter | Emergency Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Briana G Graham | Physician Assistant | Bladen Healthcare LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Joseph C Dell'aria | Emergency Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Charles I Maxwell | Emergency Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Robert L Gauer | Family Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Paul Allen Tate Jr. | Family Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Kenneth R Veenema | Emergency Medicine | First Flight Emergency Physicians 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 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don T Peacock Jr. | Podiatry | 409 Williams St, Elizabethtown, NC 28337-0716 | |
| Bryan K Monroe | Nurse Practitioner | Bladen Healthcare LLC | 107 E Dunham St, Elizabethtown, NC 28337-4300 |
| Allison M Priest | Nurse Practitioner | Southeastern Regional Physician Services | 1921 White Lake Dr, Elizabethtown, NC 28337-6236 |
| Amy D Ransom | Physician Assistant | Southeastern Regional Physician Services | 1921 White Lake Dr, Elizabethtown, NC 28337-6236 |
| Kendall Smith | Nurse Practitioner | Southeastern Regional Physician Services | 1921 White Lake Dr, Elizabethtown, NC 28337-6236 |
| Stephen Bridgers | Family Medicine | Southeastern Regional Physician Services | 1921 White Lake Dr, Elizabethtown, NC 28337-6236 |
| Meredith C Treece | Optometry | Bladen Eye Center Od Pa | 409 E Broad St, Elizabethtown, NC 28337-8807 |
| Eric E Schmidt | Optometry | Bladen Eye Center Od Pa | 409 E Broad St, Elizabethtown, NC 28337-8807 |
| Shakonda L Strayhorn | Obstetrics/gynecology | Bladen Healthcare LLC | 300 Mckoy St, Elizabethtown, NC 28337-9011 |
| Allan N Boruszak | Obstetrics/gynecology | Bladen Healthcare LLC | 300 Mckoy St, Elizabethtown, NC 28337-9011 |
| Find all physicians in zip 28337 | |||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ELIZABETHTOWN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.