Charles I Maxwell (NPI# 1215480181, PAC ID# 7911233713) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1215480181 |
| PAC ID by PECOS | 7911233713 |
| Professional Enrollment ID | I20190801000577 |
| Full Name | Charles I Maxwell |
| Organization Legal Name | FIRST FLIGHT EMERGENCY PHYSICIANS LLC |
| Address |
501 S Poplar St Elizabethtown NC 28337-9375 |
| Phone Number | 9108625100 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0345375069 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| 341315 | CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL |
| 340071 | BETSY JOHNSON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 800 Tighman Dr, Dunn, NC 28334-5510 | 9108921000 | THE CAROLINAS EMERGENCY GROUP, LLC |
| 501 S Poplar St, Elizabethtown, NC 28337-9375 | 9108625100 | FIRST FLIGHT EMERGENCY PHYSICIANS LLC |
| 300 W 27th St, Lumberton, NC 28358-3075 | 9106715000 | ROBESON EMERGENCY PHYSICIANS PLLC |
| Organization Legal Name | FIRST FLIGHT EMERGENCY PHYSICIANS LLC |
| Physicians | 11 |
| 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 |
| Joseph C Dell'aria | 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 |
| Philip A Zurowsky | Emergency Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Adebola Kolawole Adekanmbi | Internal Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| Le Thu | Emergency Medicine | First Flight Emergency Physicians LLC | 501 S Poplar St, Elizabethtown, NC 28337-9375 |
| 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 |
| 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 |
| Larry J Yoder | Certified Registered Nurse Anesthetist (crna) | Bladen Healthcare 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 | EMERGENCY MEDICINE |
| City + Specialty | ELIZABETHTOWN + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Charles I Maxwell.
| 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.