Mark C Sturdivant (NPI# 1841277654, PAC ID# 6406944263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1841277654 |
| PAC ID by PECOS | 6406944263 |
| Professional Enrollment ID | I20071113000390 |
| Full Name | Mark C Sturdivant |
| Organization Legal Name | REX HOSPITAL INC |
| Address |
6602 Knightdale Blvd Knightdale NC 27545-6526 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0840109864 |
| Number of Group Practice Members | 491 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340114 | REX HOSPITAL |
| 340173 | WAKEMED, CARY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6602 Knightdale Blvd, Knightdale, NC 27545-6526 | REX HOSPITAL INC | |
| 2800 Blue Ridge Rd, Suite 300, Raleigh, NC 27607-6476 | 9197849787 | REX HOSPITAL INC |
| 2916 Blue Ridge Rd, Raleigh, NC 27607-6424 | 9197847874 | REX HOSPITAL INC |
| 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | REX HOSPITAL INC |
| Organization Legal Name | REX HOSPITAL INC |
| Physicians | 514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Beth Liles | Nurse Practitioner | Rex Hospital Inc | 4414 Lake Boone Trl, Suite 108, Raleigh, NC 27607-7522 |
| Summer Graham Carr | Nurse Practitioner | Rex Hospital Inc | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 |
| Paul Alan Trottman | General Surgery | Rex Hospital Inc | 131 E Market St, Smithfield, NC 27577-3915 |
| Anureet Cheema Copeland | Hematology/oncology | Rex Hospital Inc | 2605 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6475 |
| Jessica Jolene Kious-fry | Nurse Practitioner | Rex Hospital Inc | 500 Redwood Ln, Louisburg, NC 27549-2678 |
| Hannah E Boghosian | Physician Assistant | Rex Hospital Inc | 1165 Us Hwy 70 W, Garner, NC 27529-2547 |
| Rebecca L Reynolds | Physician Assistant | Rex Hospital Inc | 2138 Nc Hwy 42 W, Clayton, NC 27520-5300 |
| Margaret Mangan | Registered Dietitian Or Nutrition Professional | Rex Hospital Inc | 4200 Lake Boone Trl, Raleigh, NC 27607-6521 |
| Sanjay Cherukuri | Cardiovascular Disease (cardiology) | Rex Hospital Inc | 2605 Forest Hills Rd Sw, Suite D, Wilson, NC 27893-4448 |
| Gaea Annice Mccaig | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| Street Address |
6602 KNIGHTDALE BLVD |
| City | KNIGHTDALE |
| State | NC |
| Zip | 27545-6526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Grant Jr. | Family Medicine | Rex Hospital Inc | 6602 Knightdale Blvd, Knightdale, NC 27545-6526 |
| Madeleine Rebecca Breen | Physician Assistant | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Elizabeth Surovec Williams | Physician Assistant | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Reem Alkadhi | Family Medicine | Rex Hospital Inc | 6602 Knightdale Blvd, Knightdale, NC 27545-6526 |
| Carla S Bennett | Nurse Practitioner | Rex Hospital Inc | 6602 Knightdale Blvd, Knightdale, NC 27545-6526 |
| Brian S Quigley | Emergency Medicine | Rex Hospital Inc | 6602 Knightdale Blvd, Suite 102, Knightdale, NC 27545-6526 |
| Jeffrey Mark Keil | Family Medicine | Rex Hospital Inc | 6602 Knightdale Blvd, Suite 102, Knightdale, NC 27545-6526 |
| Caitlin Marie Higgins | Family Medicine | Unc Physicians Network LLC | 6602 Knightdale Blvd, Suite 202, Knightdale, NC 27545-6526 |
| Edgar X Correa | Podiatry | Orthopaedic Specialists of North Carolina, P.a. | 6602 Knightdale Blvd, Suite 310, Knightdale, NC 27545-6526 |
| Rosemary Belden | Nurse Practitioner | Rex Hospital Inc | 6602 Knightdale Blvd, Knightdale, NC 27545-6526 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey P Strand | Optometry | Myeyedr Optometry of North Carolina Pllc | 1001 Widewaters Pkwy, Knightdale, NC 27545-6102 |
| Elizabeth S Gunst | Optometry | Myeyedr Optometry of North Carolina Pllc | 1001 Widewaters Pkwy, Knightdale, NC 27545-6102 |
| Spencer Thomas Whitt | Optometry | Myeyedr Optometry of North Carolina Pllc | 1001 Widewaters Pkwy, Knightdale, NC 27545-6102 |
| Isaias Emilio Melo Lizardo | Family Medicine | Unc Physicians Network LLC | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6506 |
| Katie Hester | Physical Therapy | Activcare Physical Therapy, LLC | 6905 Knightdale Blvd, Suite 102, Knightdale, NC 27545-6506 |
| Emily R Fronk | Physical Therapy | Activcare Physical Therapy, LLC | 6905 Knightdale Blvd, Suite 102, Knightdale, NC 27545-6506 |
| Adam L Beck | Chiropractic | Vardy Chiropractic and Wellness Clinics | 6905 Knightdale Blvd, Suite 105, Knightdale, NC 27545-6506 |
| Tara S Harris | Nurse Practitioner | Unc Physicians Network LLC | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6506 |
| Amy J Saccoccia | Registered Dietitian Or Nutrition Professional | Unc Physicians Network LLC | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6506 |
| Asghar Yamadi | Hospitalist | Rex Hospital Inc | 6602 Knightdale Blvd, Suite 102, Knightdale, NC 27545-6526 |
| Find all physicians in zip 27545 | |||
| City | KNIGHTDALE |
| Zip Code | 27545 |
| Specialty | GENERAL SURGERY |
| City + Specialty | KNIGHTDALE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mark C Sturdivant.
| 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.