MID ATLANTIC NEUROLOGY & SLEEP MEDICINE, P.A.


Address: 34 Office Park Dr Ste 100, Jacksonville, NC 28546-3221
Phone: 9103533624

MID ATLANTIC NEUROLOGY & SLEEP MEDICINE, P.A. (NPI# 1043545056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043545056
Entity Type Organization
Organization Name MID ATLANTIC NEUROLOGY & SLEEP MEDICINE, P.A.
Practice Address 34 Office Park Dr Ste 100
Jacksonville
NC 28546-3221
Practice Telephone 9103533624
Practice Fax Number 9103530550
Enumeration Date 2009-10-08
Last Update Date 2017-06-12
Authorized Official Name DR. KHALED F JREISAT (PRESIDENT)
Authorized Official Telephone 9103533624
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
27377 NC Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669708665 Mid Atlantic Neurology & Sleep Medicine, P.a. Internal Medicine 227 Memorial Dr, Jacksonville, NC 28546-6333 2009-10-26

Office Location

Street Address 34 OFFICE PARK DR STE 100
City JACKSONVILLE
State NC
Zip Code 28546-3221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083079701 Terra Lynn Kamp Nurse Practitioner 34 Office Park Dr Ste 100, Jacksonville, NC 28546-3221 2015-12-22

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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336792829 Graciela Teresita Gallo Psychiatry & Neurology 807 Childrens Way, Jacksonville, FL 32207-8426 2019-07-23
1720519713 Chethan Krishna Rao Psychiatry & Neurology 841 Prudential Dr, Suite 1130, Jacksonville, FL 32207-8329 2017-03-22
1407241961 Dana Shprung Psychiatry & Neurology 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2015-04-01
1225444664 Jun Ho Kim Psychiatry & Neurology 807 Childrens Way, Jacksonville, FL 32207-8426 2014-07-07
1720401151 Neuro Care, Pllc Psychiatry & Neurology 3050 Henderson Dr, Jacksonville, NC 28540 2014-01-21
1992962773 Erick Viorritto Psychiatry & Neurology 807 Childrens Way, Jacksonville, FL 32207-8426 2008-05-20
1861682940 Rubina Y Bakerywala Psychiatry & Neurology 807 Childrens Way, Provider Enrollment Department, Jacksonville, FL 32207-8426 2007-07-26
1699786129 David N. Hammond Psychiatry & Neurology 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-10
1427069947 Harry S. Abram Jr. Psychiatry & Neurology 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-10
1790706711 Carmela Lydia Tardo Psychiatry & Neurology 6271 Saint Augustine Rd, Ufjp Developmental Pediatrics, Jacksonville, FL 32217-2523 2006-07-23
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 28546

Improve Information

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Dataset Information

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.

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