DOUGLAS WALDREP (NPI# 1164517751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164517751 |
| Entity Type | Individual |
| Full Name | DOUGLAS WALDREP |
| Credential | MD |
| Practice Address |
2131 S 17th St Wilmington NC 28401-7407 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9108155830 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2006-01911 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2131 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708747 | Wilmington Anesthesiologists Pllc | Anesthesiology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2005-05-24 |
| 1316548159 | Thomas Martin Leighton | Nurse Practitioner | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-11-06 |
| 1902406176 | Jeff Marsh | Registered Nurse | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-10-27 |
| 1629685664 | Bobbie Sheatsley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-09-24 |
| 1699393504 | Megan Grogan | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-07-07 |
| 1215556550 | Salman Khan | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1760001028 | John William Miller Jr. | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1588283246 | Amanda Kristin Briese | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1689293300 | Broc D Astill | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1467071423 | Siten Patel | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477060333 | Womens Health Wilmington Psychiatric Medicine Pllc | Psychiatry & Neurology | 2214 Wrightsville Ave Ste D, Wilmington, NC 28403-2487 | 2018-01-01 |
| 1255861308 | Natures Way Medicine | Psychiatry & Neurology | 1224 N King St, Wilmington, DE 19801-3232 | 2017-06-12 |
| 1437698586 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 136 Odyssey Dr, Wilmington, DE 19808-1557 | 2017-02-21 |
| 1649720889 | Haven Ministries, Inc. | Psychiatry & Neurology | 7212 Oyster Ln, Wilmington, NC 28411-7132 | 2016-10-12 |
| 1326477621 | Linda D. Francis, Mdpc | Psychiatry & Neurology | 1515 Medical Center Dr, Wilmington, NC 28401-7507 | 2013-11-06 |
| 1649557588 | Robert Nicholas Spinelli | Psychiatry & Neurology | 1100 Arundel Dr, Wilmington, DE 19808-2135 | 2011-11-07 |
| 1285948620 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725 Wrightsville Ave Ste B, Wilmington, NC 28403-4140 | 2010-07-27 |
| 1396911640 | Jolomi T Ikomi | Psychiatry & Neurology | 501 W 14th St Ste 3n74, Wilmington, DE 19801-1013 | 2008-05-07 |
| 1437324753 | Chandrakala Kathiravan | Psychiatry & Neurology | 1902a Maryland Ave, Wilmington, DE 19805-4605 | 2008-04-28 |
| 1376735522 | Katharine Lopez Weymouth | Psychiatry & Neurology | 5800 Kennett Pike, Suite Four, Wilmington, DE 19807-1116 | 2007-08-13 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.