DR. RICHARD JOHN DWANE (NPI# 1144594540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144594540 |
| Entity Type | Individual |
| Full Name | DR. RICHARD JOHN DWANE |
| Credential | MD |
| Practice Address |
508 Fulton St Durham NC 27705 |
| Mailing Address |
Po Box 52360 Durham NC 27717-2360 |
| Practice Telephone | 9192860411 |
| Mailing Telephone | 9199327976 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
33642 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
508 FULTON ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217086 | Stuart Hall Manning | Internal Medicine | 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 | 2005-07-06 |
| 1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
| 1174122055 | Aline Xayasouk | Occupational Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-21 |
| 1730786187 | Kathryn Masincupp | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-07 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| 1144833716 | Phillip Charles Tampis | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-24 |
| 1164033445 | Alexandra Demascole | Social Worker | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-11 |
| 1386254498 | Krishna Rana | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
| 1730799842 | Jinah Han | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
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| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205079 | Sheila G Allison | Obstetrics & Gynecology | 6216 Fayetteville Road, Suite 105, Durham, NC 27713 | 2006-02-23 |
| 1770942005 | Carolina Women S Research and Wellness Center | Obstetrics & Gynecology | 249 E Nc Highway 54, Suite 330, Durham, NC 27713-7512 | 2016-02-15 |
| 1841633237 | Southpoint Surgical Pllc | Obstetrics & Gynecology | 5309 Highgate Dr, Suite 220, Durham, NC 27713-8501 | 2013-04-16 |
| 1417115437 | Kara Alina May Mcelligott | Obstetrics & Gynecology | 3116 N Duke St, Durham, NC 27704-2102 | 2008-05-27 |
| 1174790471 | Amy B Stanfield | Obstetrics & Gynecology | 249 E Nc Highway 54, Suite 330, Durham, NC 27713-7512 | 2008-05-15 |
| 1174796072 | Southpoint Medicine and Women's Health Assocates | Obstetrics & Gynecology | 6216 Fayetteville Rd, Suite 105, Durham, NC 27713-6287 | 2008-04-11 |
| 1740483791 | Carolina Women S Research and Wellness Center | Obstetrics & Gynecology | 249 E Nc Highway 54, Suite 330, Durham, NC 27713-7512 | 2007-06-07 |
| 1972672517 | John W. Schmitt | Obstetrics & Gynecology | 5213 S Alston Ave, Durham, NC 27713-4430 | 2006-11-07 |
| 1669556718 | Andrea S Lukes | Obstetrics & Gynecology | 249 E Nc Highway 54, Suite 330, Durham, NC 27713-7512 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142727 | The Whole Woman, Pllc | Obstetrics & Gynecology | 7509 Six Forks Rd Ste 101, Raleigh, NC 27615-5020 | 2019-12-26 |
| 1588130496 | Charlotte Marie Wise | Obstetrics & Gynecology | 1000 Southfork Village Dr Apt 101, Belmont, NC 28012-7823 | 2018-10-17 |
| 1639696149 | Raleigh Gynecology & Wellness, Pa | Obstetrics & Gynecology | 2304 Wesvill Ct Ste 210, Raleigh, NC 27607-2973 | 2017-08-25 |
| 1366992174 | Chapel Hill Gynecology Pllc | Obstetrics & Gynecology | 103 Stoneridge Dr, Chapel Hill, NC 27514-9733 | 2016-10-05 |
| 1477963874 | Kathryn Elizabeth Barletta | Obstetrics & Gynecology | 4325 Lake Boone Trl Ste 315, Raleigh, NC 27607 | 2014-05-07 |
| 1750708848 | Woman To Woman Gynecology Pllc | Obstetrics & Gynecology | 3909 Sunset Ridge Rd Ste 201, Raleigh, NC 27607-6668 | 2014-03-26 |
| 1952736142 | Brandon Gynecology Associates, Pa | Obstetrics & Gynecology | 10310 Mallard Creek Rd Ste 101d, Mallard Crossing Medical Park, Charlotte, NC 28262-4563 | 2013-09-06 |
| 1306181128 | Carolinas Medical Center-northeast | Obstetrics & Gynecology | 10030 Edison Square Dr, 100-a, Concord, NC 28027-8252 | 2012-12-05 |
| 1205105053 | Bohdan Malyk | Obstetrics & Gynecology | 1646 Verrazzano Dr, Wilmington, NC 28405-4224 | 2011-12-23 |
| 1548497209 | Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | 20 S Medical Ct, Marion, NC 28752-4972 | 2009-06-19 |
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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.