DAVID ANTHONY RODEBERG


Address: 600 Moye Blvd, Ecu Physicians Pediatric Surgery, Greenville, NC 27834-4300
Phone: 2527442832

DAVID ANTHONY RODEBERG (NPI# 1124120290) 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) 1124120290
Entity Type Individual
Full Name DAVID ANTHONY RODEBERG
Credential MD
Practice Address 600 Moye Blvd
Ecu Physicians Pediatric Surgery
Greenville
NC 27834-4300
Mailing Address Po Box 751069
Ecu Physicians
Charlotte
NC 28275-1069
Practice Telephone 2527442832
Practice Fax Number 2527443457
Enumeration Date 2006-09-01
Last Update Date 2011-02-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
2010-00640 NC Allopathic & Osteopathic Physicians
N 2086S0120X Surgery
Specialization: Pediatric Surgery
MD429509 PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5914874 05
NC BCBSNC 158YP 01

Office Location

Street Address 600 MOYE BLVD
ECU PHYSICIANS PEDIATRIC SURGERY
City GREENVILLE
State NC
Zip Code 27834-4300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467455600 Fiona Cook Internal Medicine 600 Moye Blvd, Ecu Physicians Endocrinology, Greenville, NC 27834-4300 2005-05-23
1851904999 Tyler Nigele Edgerton Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-08-28
1366054272 Mallory Claire Savidge Social Worker 600 Moye Blvd, Greenville, NC 27834-4300 2020-08-21
1336759109 Jessica Veale Physician Assistant 600 Moye Blvd, Greenville, NC 27834-4300 2020-08-05
1942819990 Ryan Grabiec Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-07-27
1215545157 Rewati Bhattarai Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-07-16
1629686860 Amanda Foy Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-07-14
1477179927 Rebecca Ann Baietto Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834 2020-06-21
1720604416 Dylan Joseph Defauw Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-06-18
1003432790 Joshua L Mcdaniel Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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Taxonomy Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659363133 Robert L Gates Surgery 48 Cross Park Ct, Greenville, SC 29605-4263 2005-08-19
1396756821 Danielle S. Walsh Surgery 600 Moye Blvd, Ecu Physicians Pediatric Surgery, Greenville, NC 27834-4300 2006-08-10
1902825532 James Franklin Green Jr. Surgery 48 Cross Park Ct, Greenville, SC 29605-4263 2006-07-18
1699721431 John Cletus Chandler Surgery 48 Cross Park Ct, Greenville, SC 29605-4263 2006-05-25
1043292386 Shannon Wright Longshore Surgery 600 Moye Blvd, Ecu Physicians Pediatric Surgery: Medical Annex 207, Greenville, NC 27834-4300 2005-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225525538 Jessica Marie Pierce Surgery 1900 Randolph Rd Ste 210, Charlotte, NC 28207-1106 2018-04-23
1750695078 Pamela Artise Patrick-roberts Surgery N Carolina Baptist Hospital, Medical Center Blvd, Winston Salem, NC 27157-0001 2010-07-28
1346376423 Daniel Andrew Bambini Surgery 1900 Randolph Rd., Ste. 210, Charlotte, NC 28207-1106 2007-02-26
1821085838 Gregory Hoy Surgery 105 Wando Cir, Hertford, NC 27944-8951 2005-10-04
1982269346 Wakemed Specialists Group, LLC Surgery 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1194157388 Carolinas Physicians Network Inc Surgery 1025 Morehead Medical Dr, Ste 275, Charlotte, NC 28204-2963 2013-07-30
1730520396 Carolinas Physicians Network Inc Surgery 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 2013-07-11
1134447378 Carolina Healthcare Associates Inc Surgery 2131 S 17th St, Wilmington, NC 28401-7407 2010-05-12
1740441088 Leah M Sieren Surgery Medical Center Blvd, Winston Salem, NC 27157-0001 2008-06-19
1275741076 Graham Harvey Cosper Surgery 1900 Randolph Rd., Ste. 210, Charlotte, NC 28207-1106 2007-05-18
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Competitor

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City GREENVILLE
Zip Code 27834

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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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