Shaun C. Hines (NPI# 1619358710, PAC ID# 7719236066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1619358710 |
| PAC ID by PECOS | 7719236066 |
| Professional Enrollment ID | I20180820000979 |
| Full Name | Shaun C. Hines |
| Organization Legal Name | BLADEN HEALTHCARE LLC |
| Address |
1106 W Seaboard St Bladenboro NC 28320-6985 |
| Phone Number | 9108633138 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 1106 W Seaboard St, Bladenboro, NC 28320-6985 | 9108633138 | 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 |
| 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 |
| 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 |
| Street Address |
1106 W SEABOARD ST |
| City | BLADENBORO |
| State | NC |
| Zip | 28320-6985 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley Brown | Nurse Practitioner | Bladen Healthcare LLC | 1106 W Seaboard St, Bladenboro, NC 28320-6985 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Carol Barnes | Clinical Social Worker | Coastal Southeastern United Care LLC | 818 S Main St, Bladenboro, NC 28320-5970 |
| Jong Kim | Internal Medicine | 8100 Twisted Hickory Rd, Bladenboro, NC 28320-7010 |
| City | BLADENBORO |
| Zip Code | 28320 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BLADENBORO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shaun C. Hines.
| 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.