Kawanta F Durham (NPI# 1821224866, PAC ID# 7517113244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1821224866 |
| PAC ID by PECOS | 7517113244 |
| Professional Enrollment ID | I20120810000538 |
| Full Name | Kawanta F Durham |
| Organization Legal Name | MOSES CONE MEDICAL SERVICES INC |
| Address |
4901e Nc Hwy 150 Browns Summit NC 27214-9719 |
| Phone Number | 3366569905 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2769395458 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340091 | MOSES H. CONE MEMORIAL HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 4901e Nc Hwy 150, Browns Summit, NC 27214-9719 | 3366569905 | MOSES CONE MEDICAL SERVICES INC |
| Organization Legal Name | MOSES CONE MEDICAL SERVICES INC |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Ruth Aaron | Physical Therapy | Moses Cone Medical Services Inc | 4443 Jessup Grove Rd, Greensboro, NC 27410-9934 |
| Bambi Gibson Cottle | Clinical Social Worker | Moses Cone Medical Services Inc | 606 B Walter Reed Dr, Greensboro, NC 27403-1114 |
| Leisa R Tapia | Physician Assistant | Moses Cone Medical Services Inc | 4901e Nc Hwy 150, Browns Summit, NC 27214-9719 |
| Katherine K Clark | Nurse Practitioner | Moses Cone Medical Services Inc | 940 Golf House Ct E, Whitsett, NC 27377-9296 |
| Renee Kuneff | Family Medicine | Moses Cone Medical Services Inc | 1427 Nc Hwy 68 N, Unit A, Oak Ridge, NC 27310-9889 |
| Hannah R Kim | Family Medicine | Moses Cone Medical Services Inc | 3803 Robert Porcher Way, Greensboro, NC 27410-2191 |
| William L Webster | Physician Assistant | Moses Cone Medical Services Inc | 401 Aw Decatur St, Madison, NC 27025-1913 |
| Charlene S Scott | Internal Medicine | Moses Cone Medical Services Inc | 1409 University Dr, Suite 105, Burlington, NC 27215-8787 |
| Graham S Duncan | Family Medicine | Moses Cone Medical Services Inc | 1126 N Church St, Suite 300, Greensboro, NC 27401-1037 |
| Mary M Martin | Nurse Practitioner | Moses Cone Medical Services Inc | 401 W Decatur St, Madison, NC 27025-1913 |
| Street Address |
4901E NC HWY 150 |
| City | BROWNS SUMMIT |
| State | NC |
| Zip | 27214-9719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leisa R Tapia | Physician Assistant | Moses Cone Medical Services Inc | 4901e Nc Hwy 150, Browns Summit, NC 27214-9719 |
| Mary B Dixon | Physician Assistant | Moses Cone Medical Services Inc | 4901e Nc Hwy 150, Browns Summit, NC 27214-9719 |
| Warren T Pickard Ii | Family Medicine | Moses Cone Medical Services Inc | 4901e Nc Hwy 150, Browns Summit, NC 27214-9719 |
| City | BROWNS SUMMIT |
| Zip Code | 27214 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BROWNS SUMMIT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kawanta F Durham.
| 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.