DR. JAMES ROBERT CERVIN (NPI# 1003808288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003808288 |
| Entity Type | Individual |
| Full Name | DR. JAMES ROBERT CERVIN |
| Credential | M.D. |
| Practice Address |
612 Mocksville Ave Salisbury NC 28144-2732 |
| Practice Telephone | 7042105078 |
| Practice Fax Number | 7042105395 |
| Mailing Telephone | 9194207811 |
| Mailing Fax Number | 9194207815 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
9300060 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8921857 | 05 |
| Street Address |
612 MOCKSVILLE AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305831 | Zhong Yu | Internal Medicine | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-06-09 |
| 1093348609 | Lauren Nolan | Physician Assistant | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2020-02-21 |
| 1689210585 | Novant Medical Group, Inc. | Psychiatry & Neurology | 612 Mocksville Ave, Salisbury, NC 28144 | 2019-11-26 |
| 1447806443 | Rowan Regional Medical Center, Inc | General Acute Care Hospital | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2019-08-15 |
| 1497215248 | Jared Robert Kelly | Psychiatry & Neurology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2019-03-20 |
| 1285113019 | Taylor Gazaway Duncan | Physician Assistant | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-08-13 |
| 1801385091 | Jamie Warren | Pharmacist | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-05-03 |
| 1538661236 | Jamie T Douthit | Nurse Practitioner | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-03-08 |
| 1508368150 | Andrea Eudy | Nurse Practitioner | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-02-28 |
| 1396247995 | Amanda Kathleen Strickland | Registered Nurse | 612 Mocksville Ave, Salisbury, NC 28144 | 2018-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760662225 | Martina De Comarmond | Pathology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2007-11-13 |
| 1093918021 | Michael Wagner | Pathology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2007-06-07 |
| 1336213552 | William J Logan | Pathology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-11-20 |
| 1124101209 | Patrick Edward Oreilly Jr. | Pathology | 100 E Carroll St, Salisbury, MD 21801-5422 | 2006-10-23 |
| 1982668224 | Leslie Rupard Debroder | Pathology | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-04-13 |
| 1457324741 | Rowan Regional Pathology Associates P A | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2006-02-08 |
| 1548252661 | Joel Michael Weber | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-08-16 |
| 1205828324 | Leslie Sierra Renten | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-08-16 |
| 1982696118 | Rachel Hereford Ross | Pathology | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484965 | Azad Bakht | Pathology | Medical Center Boulevard Department of Pathology, Winston Salem, NC 27157-0001 | 2020-07-10 |
| 1316401375 | Celligent Diagnostics, LLC | Pathology | 101 E W T Harris Blvd Ste 1212, Charlotte, NC 28262-3423 | 2019-01-24 |
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| 1134651748 | Elsa Mondou | Pathology | 6008 Bunchberry Ct, Raleigh, NC 27616-5454 | 2017-04-02 |
| 1578910006 | Jennifer Michelle Crimmins | Pathology | Dumc 3712, Durham, NC 27710-4220 | 2016-05-13 |
| 1407237811 | Cori Breslauer | Pathology | Pathology and Lab Medicine, Bbb Cb 7525, Chapel Hill, NC 27599-7525 | 2015-06-11 |
| 1548668338 | Cheryl Levine | Pathology | 1740 Montclair Ave, Gastonia, NC 28054-4848 | 2014-12-11 |
| 1396005369 | Bart B Singer | Pathology | Unc Pathology Cb 7525 Brinkhous-bullitt Building, Chapel Hill, NC 27599-7525 | 2012-05-23 |
| 1750670279 | Nathan Samuel Cuka | Pathology | 3333 Silas Creek Pkwy Fl 1, Winston Salem, NC 27103-3013 | 2011-04-05 |
| 1669790994 | Sara Elizabeth Wobker | Pathology | 303 Brinkhouse Bullitt Bldg, Department of Pathology, Cb# 7525, Chapel Hill, NC 27599-7525 | 2010-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.