Teddie W Gore (NPI# 1255566154, PAC ID# 9032261797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255566154 |
| PAC ID by PECOS | 9032261797 |
| Professional Enrollment ID | I20090710000439 |
| Full Name | Teddie W Gore |
| Organization Legal Name | EAST CAROLINA HEALTH-BERTIE |
| Address |
1403 S King St Windsor NC 27983-0509 |
| Phone Number | 2527946750 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355251661 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 341304 | VIDANT BERTIE HOSPITAL |
| 341318 | VIDANT CHOWAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1403 S King St, Windsor, NC 27983-0509 | 2527946750 | EAST CAROLINA HEALTH-BERTIE |
| 1403 S King St, Windsor, NC 27983-9666 | EAST CAROLINA HEALTH-BERTIE |
| Organization Legal Name | EAST CAROLINA HEALTH-BERTIE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas C Keith | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Rudo Gwanzura | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-0509 |
| Mark S Worthen | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Phillip G Harris | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-0509 |
| Billie J Threlkeld | Emergency Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Street Address |
1403 S KING ST |
| City | WINDSOR |
| State | NC |
| Zip | 27983-0509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas C Keith | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Rudo Gwanzura | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-0509 |
| Brian Patrick Lowry | Emergency Medicine | Vidant Medical Group LLC | 1403 S King St, Windsor, NC 27983-9666 |
| Mark S Worthen | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Phillip G Harris | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-0509 |
| Billie J Threlkeld | Emergency Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Anthony J Frank Jr. | Emergency Medicine | Vidant Medical Group LLC | 1403 S King St, Windsor, NC 27983-9666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kareen Binion-brown | Physician Assistant | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Deborah Stokely | Nurse Practitioner | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Deanna Moore | Nurse Practitioner | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Ricky Brooks | Obstetrics/gynecology | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Gilbert D Arenas | Family Medicine | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Sherry B Brown | Family Practice | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Charlanna Speights | Family Practice | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| City | WINDSOR |
| Zip Code | 27983 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WINDSOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Teddie W Gore.
| 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.