Preston P Purdum Iii (NPI# 1275566283, PAC ID# 6103724950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1275566283 |
| PAC ID by PECOS | 6103724950 |
| Professional Enrollment ID | I20070809000748 |
| Full Name | Preston P Purdum Iii |
| Organization Legal Name | CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA |
| Address |
1105 Spruce St Suite 101 Belmont NC 28012-4228 |
| Phone Number | 7048209430 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951209790 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340021 | CAROLINAS HEALTHCARE SYSTEM CLEVELAND |
| Address | Phone | Organization |
|---|---|---|
| 1105 Spruce St, Suite 101, Belmont, NC 28012-4228 | 7048209430 | CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA |
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | CAROLINAS MEDICAL CENTER | |
| 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 | 7043727974 | CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA |
| Organization Legal Name | CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Fletcher | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Olanrewaju Yusuf Jimoh | Gastroenterology | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Lisa Y Kimmerle | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Dustin M Souther | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Tarun Narang | Gastroenterology | Carolina Digestive Health Associates, Pa | 10620 Park Rd, Suite 102, Charlotte, NC 28210-0106 |
| Glen L Portwood | Internal Medicine | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Fred C Fowler | Gastroenterology | Carolina Digestive Health Associates, Pa | 1085 Negateway Nect, Suite 280, Concord, NC 28025-2412 |
| Stephen Stephenson | Gastroenterology | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Betsy Anne Wolfe | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Dana J Courtney | Certified Registered Nurse Anesthetist (crna) | Carolina Digestive Health Associates, Pa | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1084 |
| Street Address |
1105 SPRUCE ST SUITE 101 |
| City | BELMONT |
| State | NC |
| Zip | 28012-4228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Cheifetz | Nephrology | Metrolina Nephrology Associates Pa | 5010 Medical Care Ct, Belmont, NC 28012-2276 |
| Gary J Schreck | Nurse Practitioner | Metrolina Nephrology Associates Pa | 5010 Medical Care Ct, Belmont, NC 28012-2276 |
| Jonathan A Planer | Nephrology | Metrolina Nephrology Associates Pa | 5010 Medical Care Ct, Belmont, NC 28012-2276 |
| Richard D Snyder | Chiropractic | 71 Mcadenville Rd, Belmont, NC 28012-2434 | |
| Llana D Call Smith | Chiropractic | 407 Beatty Dr, Belmont, NC 28012-2505 | |
| Kevin F Costello | Interventional Pain Management | American Anesthesiology of North Carolina Pllc | 275 Beatty Dr, Belmont, NC 28012-2715 |
| Russell E Davenport Iii | Pain Management | American Anesthesiology of North Carolina Pllc | 275 Beatty Dr, Belmont, NC 28012-2715 |
| Bradley A Wruble | Optometry | Bradley A Wruble Od Pllc | 2 Kenwood St, Belmont, NC 28012-3135 |
| David John Wright | Chiropractic | 611 N Central Ave, Suite 1, Belmont, NC 28012-3151 | |
| Matthew Gregory | Chiropractic | Gregory Chiropractic Center Pa | 611 N Central Ave, Belmont, NC 28012-3151 |
| Find all physicians in zip 28012 | |||
| City | BELMONT |
| Zip Code | 28012 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | BELMONT + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Preston P Purdum Iii.
| 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.