DR. FREDERICK R ELLWANGER III (NPI# 1043319098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043319098 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK R ELLWANGER III |
| Credential | MD |
| Practice Address |
749 Wild Oak Ln Nw Calabash NC 28467-1939 |
| Practice Telephone | 9105757678 |
| Practice Fax Number | 9105757678 |
| Mailing Telephone | 9105757678 |
| Mailing Fax Number | 9105757678 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
18944 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
749 WILD OAK LN NW |
| City | CALABASH |
| State | NC |
| Zip Code | 28467-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052098 | Felicia Lavern Gore | Adult Companion | 330 Treeacres Circle Nw, Calabash, NC 28467 | 2018-05-10 |
| 1063914000 | Connor David Price | Occupational Therapist | 9600 Number 5 School Road Northwest, Calabash, NC 28467 | 2018-03-06 |
| 1508115569 | Edward Ragland Thomas Iv | Pharmacist | 10227 Beach Drive Sw, Calabash, NC 28467 | 2012-09-06 |
| 1194941286 | Calabash Family Pharmacy Inc | Pharmacy | 10080 Beach Drive Sw, Calabash, NC 28467 | 2007-04-17 |
| 1639210529 | Forever Yours, Inc | Durable Medical Equipment & Medical Supplies | 262 Koolabrew Drive, Calabash, NC 28467 | 2007-02-12 |
| 1629123807 | Thomas Drugs Inc | Durable Medical Equipment & Medical Supplies | 10227 Beach Drive, Calabash, NC 28467 | 2007-01-25 |
| 1417027046 | Pamela C Neves | Counselor | Old Georgetown Centre Hwy 179, Suite 9, Calabash, NC 28467 | 2006-11-09 |
| 1164533493 | David Philip Deeb | Dentist | 10271 Beach Dr Sw, Calabash, NC 28467 | 2006-08-31 |
| 1144331471 | Deeb & Fanning Dds Pa | Dentist | 10271 Beach Drive Sw, Calabash, NC 28467 | 2006-08-31 |
| 1588770002 | Ted Hadley Sanders | Dentist | 9220-1 Beach Dr Sw, Calabash, NC 28467 | 2006-08-21 |
| Find all providers in zip 28467 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396121745 | Orit Kaidar - Person | Radiology | 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 | 2015-08-08 |
| 1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
| 1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
| 1679830699 | Colette Joan Shen | Radiology | 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 | 2012-04-15 |
| 1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
| 1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
| 1194905984 | Daniel G. Baseman | Radiology | 70 Neely Rd, Brevard, NC 28712-4267 | 2007-11-08 |
| 1285844183 | John S Moody | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-05-22 |
| 1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
| 1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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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.