BREEZEWOOD HEALTHCARE, P.A. (NPI# 1023337276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023337276 |
| Entity Type | Organization |
| Organization Name | BREEZEWOOD HEALTHCARE, P.A. |
| Practice Address |
200 Forsythe St Fayetteville NC 28303-5426 |
| Mailing Address |
Po Box 87448 Fayetteville NC 28304-7448 |
| Practice Telephone | 9104850700 |
| Practice Fax Number | 9104839572 |
| Mailing Telephone | 9104850700 |
| Mailing Fax Number | 9104839572 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |
| Authorized Official Name | DR. GERIANNE C GESZLER (PRESIDENT) |
| Authorized Official Telephone | 9104850700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
200 FORSYTHE ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748562 | Gerianne C Geszler | Obstetrics & Gynecology | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2005-05-23 |
| 1962954487 | Total Approach Wellness & Aesthetics | Clinic/Center | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2016-11-01 |
| 1821467044 | Prana Health Pllc | Psychiatry & Neurology | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2015-09-17 |
| 1902212541 | Breezewood Healthcare P A | Non-Pharmacy Dispensing Site | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2014-07-03 |
| 1215175559 | The Center for Health and Restoration, Inc. | General Practice | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2009-01-23 |
| 1356404453 | Breezewood Family Healthcare, Pa | Family Medicine | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2006-12-19 |
| 1952481830 | Cynthia C Phillips | Physician Assistant | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2006-10-16 |
| 1821038209 | Rahul Kumar Kakkar | Internal Medicine | 200 Forsythe St, Fayetteville, NC 28303-5426 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297033 | Washington Regional Medical System | General Practice | 3 E. Appleby Road, Suite 101, Fayetteville, AR 72703 | 2014-05-08 |
| 1053754622 | Hessel Kooistra IIi | General Practice | 10971 Rocky Creek Rd, Fayetteville, AR 72701-0614 | 2013-04-12 |
| 1861636607 | John James Sacco | General Practice | 5018 Worthington Way, Fayetteville, NY 13066-8703 | 2009-04-23 |
| 1093877441 | Michael R Ressal | General Practice | 3415 C1 Melrose Road, Fayetteville, NC 28304-1608 | 2006-12-14 |
| 1184727711 | Donald Eric Milmore | General Practice | 120 Walnut Street, Fayetteville, NY 13066-2028 | 2006-09-07 |
| 1710993654 | Scott David Fedosky | General Practice | 2603 Main Dr, Suite # 6, Fayetteville, AR 72704-5278 | 2006-07-31 |
| 1356377741 | Linda M Ekman | General Practice | 117 E Sycamore St, Fayetteville, AR 72703-2540 | 2006-06-25 |
| 1902832660 | Janet Lynn Titus | General Practice | 63 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-06-24 |
| 1720020712 | Diane Elizabeth Ashby | General Practice | 207 W Maple Ave, Fayetteville, WV 25840-1413 | 2006-06-12 |
| 1427008093 | Medical Associates of Northwest Arkansas Pa | General Practice | 1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 | 2006-05-12 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on BREEZEWOOD HEALTHCARE, P.A..
| 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.