DEITRA LETRICE WILLIAMS-TOONE (NPI# 1053339283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053339283 |
| Entity Type | Individual |
| Full Name | DEITRA LETRICE WILLIAMS-TOONE |
| Credential | MD |
| Practice Address |
1540 Purdue Dr Ste 200 Fayetteville NC 28303-5510 |
| Mailing Address |
Po Box 64575 Fayetteville NC 28306-0575 |
| Practice Telephone | 9106301112 |
| Mailing Telephone | 9106301112 |
| Mailing Fax Number | 9104251110 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 200500671 | NC | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
200500671 | NC | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
200500671 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA | 3416947 | 01 |
| NC | RAILRAOD-MEDICARE | P00380380 | 01 |
| NC | PARTNERS | 808986 | 01 |
| NC | MEDCOST | 192193 | 01 |
| NC | 5904964 | 05 | |
| NC | BCBS NC | 143R1 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 Spring Forest Rd, Suite 130, Raleigh, NC 276162880 | 9198739533 |
| Street Address |
1540 PURDUE DR STE 200 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194225490 | Caroline Miller Harris | Physical Medicine & Rehabilitation | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2018-02-14 |
| 1437373578 | Cardinal Clinic, LLC | Psychiatry & Neurology | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2007-04-12 |
| 1023156932 | Theodore W. Lane | Psychologist | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2007-02-02 |
| 1659419430 | Aaron Melvin | Social Worker | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2007-02-02 |
| 1609925668 | Cardinal Clinic LLC | Counselor | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2007-01-09 |
| 1982761250 | Cardinal Clinic LLC | Counselor | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2007-01-03 |
| 1700967395 | Cardinal Clinic L.L.C. | Counselor | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2006-10-18 |
| 1679653588 | Brenda M. Dixon | Counselor | 1540 Purdue Dr Ste 200, Fayetteville, NC 28303-5510 | 2006-10-16 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215252481 | Whitney Kern Braddy | Anesthesiology | 2153 Valleygate Dr Ste 102, Fayetteville, NC 28304-3667 | 2010-03-31 |
| 1689878118 | Pain and Laser Cente Pa | Anesthesiology | 1840 Owen Drive, Suite 103, Fayetteville, NC 28304-3455 | 2007-06-11 |
| 1699828186 | Brent R Weilert | Anesthesiology | 3336 North Futrall Drive, Fayetteville, AR 72703 | 2007-01-19 |
| 1619348463 | Premier Pain Practice Pllc | Anesthesiology | 1782 Metromedical Dr, Fayetteville, NC 28304-3861 | 2015-10-19 |
| 1558428789 | Interventional Pain Center Pllc | Anesthesiology | 2153 Valleygate Dr, Suite 102, Fayetteville, NC 28304-3681 | 2007-01-03 |
| 1942301494 | Cumberland Anesthesia Associates P A | Anesthesiology | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1598235830 | Mission Community Anesthesiology Specialists LLC | Anesthesiology | 89 Hospital Dr Ste C, Brevard, NC 28712-4838 | 2018-11-29 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1508347048 | Premier Pain Solutions Pllc | Anesthesiology | 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | 2018-08-23 |
| 1417434069 | Kyle Mason Fisher | Anesthesiology | Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 | 2018-07-26 |
| 1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1356898720 | Ketamine Wellness Institute | Anesthesiology | 414 Cosgrove Ave, Chapel Hill, NC 27514-5271 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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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.