HARRY T AMEREDES


Address: 3186 Village Dr 201, Fayetteville, NC 28304-3979
Phone: 9104865700

HARRY T AMEREDES (NPI# 1104845528) 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) 1104845528
Entity Type Individual
Full Name HARRY T AMEREDES
Credential M.D.
Practice Address 3186 Village Dr 201
Fayetteville
NC 28304-3979
Practice Telephone 9104865700
Practice Fax Number 9104865950
Mailing Telephone 9104865700
Mailing Fax Number 9104865950
Enumeration Date 2006-07-18
Last Update Date 2015-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
200600416 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC Q0041J 05
NC 5905921 05

Office Location

Street Address 3186 VILLAGE DR 201
City FAYETTEVILLE
State NC
Zip Code 28304-3979

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447253075 Demir E Bastug Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2005-05-27
1083820617 Ali Nasim Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2007-05-14
1285719716 Dobrinka Velikova Dimitrova-koutleva Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2006-10-25
1770671190 Tereza Poghosyan Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2006-10-11
1942205539 Mark S. Zalaznik Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2005-06-20
1053316638 James E. Shearer Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2005-06-20
1558366138 Terri L. Zacco Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2005-06-20
1700881521 David R Fisher Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2005-06-17
1215932983 Richard E. Roux Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2005-06-17
1245235001 Bruce M. Distell Radiology 3186 Village Dr 201, Fayetteville, NC 28304-3979 2005-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700211653 Medical Associates of Northwest Arkansas Pa Radiology 3383 N Mana Ct Ste 102, Fayetteville, AR 72703-4965 2013-09-11
1831534346 Kevin Tyler Goelz Radiology 605 Wentworth Ct, Fayetteville, GA 30215 2013-05-10
1689859829 Santiago Miro Radiology 7302 Wakefield Dr, Fayetteville, NY 13066-9755 2008-01-07
1295858967 Garney H Fendley Radiology 3215 N. North Hills Blvd, Fayetteville, AR 72703-4424 2007-04-09
1558424986 Joseph Vincent Scrivani Radiology 5436 Springview Dr, Fayetteville, NY 13066-9678 2006-12-18
1538244751 Bernard Schneider Radiology 7064 Woodchuck Hill Rd, Fayetteville, NY 13066-9764 2006-10-26
1023190097 Andrew Bostaph Radiology 3027 Hampton Ridge Rd, Fayetteville, NC 28311-3005 2006-10-19
1326095639 Cynthia Evette P Humphries Radiology 2053 Loganberry Dr, Fayetteville, NC 28304-0804 2006-05-30
1134170160 Medical Associates of Northwest Arkansas Pa Radiology 55 W Sunbridge Dr, Fayetteville, AR 72703-1825 2006-05-15
1669430971 Carolina Imaging LLC of Fayetteville Radiology 3628 Cape Center Dr, Fayetteville, NC 28304-4406 2006-05-03
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City FAYETTEVILLE
Zip Code 28304

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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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