DR. JON DUBOSE (NPI# 1114920162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114920162 |
| Entity Type | Individual |
| Full Name | DR. JON DUBOSE |
| Credential | MD |
| Practice Address |
111 Hospital Dr Tarboro NC 27886-2011 |
| Practice Telephone | 2526417700 |
| Practice Fax Number | 2526417313 |
| Mailing Telephone | 2526417700 |
| Mailing Fax Number | 2526417313 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2014-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 200101440 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 200101440 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891330U | 05 |
| Street Address |
111 HOSPITAL DR |
| City | TARBORO |
| State | NC |
| Zip Code | 27886-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849668 | Rhonda Beal | Physical Therapist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-10-19 |
| 1184222580 | Courtney Willoughby | Physical Therapist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-10-16 |
| 1528682648 | Nikki Forbes | Registered Nurse | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2020-06-04 |
| 1699334847 | Kev'ann Denise Jarman | Nurse Practitioner | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2019-06-11 |
| 1932659281 | Vidant Edgecombe Hospital | General Acute Care Hospital | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-10-11 |
| 1639627623 | Christine Coleman | Nurse Practitioner | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-09-19 |
| 1598121311 | Zackry Briggs | Physician Assistant | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2016-01-08 |
| 1669870309 | April Reichmeider | Dietitian, Registered | 111 Hospital Dr, Attn: Dietary, Tarboro, NC 27886-2011 | 2014-12-11 |
| 1073938577 | Clayton Moore | Pharmacist | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2014-02-20 |
| 1144560756 | Roxanne Wynne Godley | Dietitian, Registered | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781566 | Fountain Transportation | Non-emergency Medical Transport (VAN) | 350 William Walston Lane, Tarboro, NC 27886 | 2019-10-09 |
| 1942737481 | Jude Ude | Pharmacist | 1519 Man Street, Tarboro, NC 27886 | 2017-05-15 |
| 1487197406 | Fms Ena Home, LLC | Clinic/Center | 122 Hospital Drive, Tarboro, NC 27886 | 2016-11-22 |
| 1295191450 | Fountain Adult Home Care, LLC | Custodial Care Facility | 303 William Walston Lane, Tarboro, NC 27886 | 2016-01-04 |
| 1033464805 | Tiffany Chapman Barber | Pharmacist | 1519 N Main Street, Tarboro, NC 27886 | 2012-07-18 |
| 1891085247 | Illumi-nation Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7806 Hwy 42 East, Tarboro, NC 27886 | 2011-04-19 |
| 1376842187 | Hiren C Patel | Pharmacist | 1600 North Main St., Tarboro, NC 27886 | 2011-03-18 |
| 1407976590 | Edgecombe Chiropractic Inc | Chiropractor | 1801 Main Street, Tarboro, NC 27886 | 2007-03-30 |
| 1265567762 | Rinson A Weathers | Personal Emergency Response Attendant | 111 Hospital Drive, Tarboro, NC 27886 | 2007-02-23 |
| 1780758961 | George Thomas Ward | Dentist | 112 W St John Street, Tarboro, NC 27886 | 2006-11-20 |
| Find all providers in zip 27886 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265840003 | Ramesh Raj Mishra | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2014-07-24 |
| 1407266695 | Paul Richard Woodard II | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886 | 2014-04-28 |
| 1265786115 | Manisha Tiwari | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2012-10-30 |
| 1780971853 | Camilo Andres Ortega Parra | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2011-07-08 |
| 1265752273 | Donneshia Gabrielle Moore | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2010-06-02 |
| 1649417353 | Avanti Vigg | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2009-01-16 |
| 1477685360 | Ogugua Ndili Obi | Internal Medicine | 111 Hospital Dr, Tarboro, NC 27886-2011 | 2007-03-09 |
| 1649380916 | Tarboro Clinic Pa | Internal Medicine | 101 Clinic Dr, Tarboro, NC 27886-1935 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475474 | Fhpg, LLC | Internal Medicine | 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387-7037 | 2020-10-22 |
| 1104431725 | Progress Medical, Pllc | Internal Medicine | 2104 Talmage Dr, Leland, NC 28451-9340 | 2020-09-10 |
| 1568076222 | Raleigh Holistic Healthcare | Internal Medicine | 875 Walnut St Ste 275-9, Cary, NC 27511-4215 | 2020-09-01 |
| 1346852407 | Wake Specialty Physicians | Internal Medicine | 2001 S Main St Ste 200, Wake Forest, NC 27587-1652 | 2020-08-20 |
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1417566779 | Old Town M.d. | Internal Medicine | 500 Westover Dr Ste 10417, Sanford, NC 27330-8941 | 2020-07-23 |
| 1174141683 | Telepartners for Integrated Health | Internal Medicine | 9413 Tillot Dr, Matthews, NC 28105-1567 | 2020-07-10 |
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
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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.