EASTOVER PEDIATRICS (NPI# 1063653178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063653178 |
| Entity Type | Organization |
| Organization Name | EASTOVER PEDIATRICS |
| Practice Address |
3551 Dunn Rd Suite 103 Eastover NC 28312-8794 |
| Mailing Address |
400 Liberty Hill Rd Lumberton NC 28358-2446 |
| Practice Telephone | 9107388060 |
| Practice Fax Number | 9106713600 |
| Mailing Telephone | 9107388060 |
| Mailing Fax Number | 9106713600 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |
| Authorized Official Name | ROSE C DUCKWORTH (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 9107388060 |
| Authorized Official Credential | CPC, CMIS, CMOM |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S HEALTH OF CAROLINA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
3551 DUNN RD SUITE 103 |
| City | EASTOVER |
| State | NC |
| Zip Code | 28312-8794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025556 | Margaret Susan Lewis | Nurse Practitioner | 3551 Dunn Rd, Suite 101, Eastover, NC 28312-8794 | 2005-06-30 |
| 1215475066 | Allison Underwood Holden | Nurse Practitioner | 3551 Dunn Rd, Suite 101, Eastover, NC 28312-8794 | 2017-02-01 |
| 1134580442 | Elizabeth Boyle Kleinfelder | Nurse Practitioner | 3551 Dunn Rd, Eastover, NC 28312 | 2016-03-14 |
| 1831580224 | Thomas C Notto | Physician Assistant | 3551 Dunn Rd, Suite 101, Eastover, NC 28312-8794 | 2015-02-07 |
| 1881871622 | Eastover Family Care PC | Family Medicine | 3551 Dunn Rd, Suite 101, Eastover, NC 28312-8794 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185207 | Christine U Jones | Technician | 3801 Stedman Cedar Creek Rd, Fayetteville, NC 28312 | 2019-10-11 |
| 1497305890 | Stephanie Deshawn Cain | Technician | 1250 Colts Pride Dr, Fayetteville, NC 28312 | 2019-09-17 |
| 1477057545 | Accurate Sleep Diagnostic Center LLC | Clinic/Center | 4220 Locks Creek Church Road, Fayetteville, NC 28312 | 2018-03-22 |
| 1245739457 | Heather S Callihan | Home Health | 415 Old Vander Rd, Fayetteville, NC 28312 | 2018-02-03 |
| 1497088371 | Rainbow Pediatrics of Eastover | Pediatrics | 3361 Dunn Rd, Eastover, NC 28312 | 2009-09-10 |
| 1093947798 | Nuvision Home Care, Inc. | Home Health | 1549 River Road, Fayetteville, NC 28312 | 2009-08-13 |
| 1992724157 | Jactom Inc | Skilled Nursing Facility | 3532 Dunn Road, Fayetteville, NC 28312 | 2006-07-19 |
| 1629458369 | Mato Brown | Social Worker | 511 Middle Rd, Fayetteville, NC 28312 | 2015-06-08 |
| 1225109911 | William I Cross | Emergency Medicine | 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 | 2006-11-13 |
| 1609051275 | Johari Family Services,llc | Residential Treatment Facility, Emotionally Disturbed Children | 511 Middle Rd, Fayetteville, NC 28312-5207 | 2008-01-02 |
| Find all providers in zip 28312 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497088371 | Rainbow Pediatrics of Eastover | Pediatrics | 3361 Dunn Rd, Eastover, NC 28312 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EASTOVER PEDIATRICS.
| 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.