DR. MARK GREGORY SWEDENBURG (NPI# 1164599015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164599015 |
| Entity Type | Individual |
| Full Name | DR. MARK GREGORY SWEDENBURG |
| Credential | MD |
| Practice Address |
400 Old Smithfield Rd Goldsboro NC 27530-8464 |
| Mailing Address |
218 Walnut Creek Dr Goldsboro NC 27534-8980 |
| Practice Telephone | 9195814660 |
| Mailing Telephone | 9197512086 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 200200290 | NC | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
200200290 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406028 | 05 |
| Street Address |
400 OLD SMITHFIELD RD |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27530-8464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225118839 | John Scott Mcconnaughey | Family Medicine | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2006-10-17 |
| 1447518527 | O'berry Neuro Medical Treatment Center | Clinic/Center | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2012-04-26 |
| 1720305980 | O'berry Neuro-medical Treatment Center | Skilled Nursing Facility | 400 Old Smithfield Rd, Goldsboro, NC 27530 | 2010-04-28 |
| 1457532780 | Kenneth James Mcneese | Respiratory Therapist, Certified | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2007-11-15 |
| 1679779631 | Brenda French Traylor | Occupational Therapist | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2007-06-26 |
| 1306041033 | Barbara A Minton-merkwa | Physical Therapist | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2007-06-21 |
| 1063557577 | Vandana Sanghavi Lewis | Physical Therapist | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2007-02-21 |
| 1629134994 | Oberry Center | Pharmacy | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2006-12-29 |
| 1558439034 | Michael Eugene Bunch | Surgery | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2006-12-01 |
| 1851466833 | Eva Marie Abrams | Nurse Practitioner | 400 Old Smithfield Rd, Goldsboro, NC 27530-8464 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689777 | A Fathers' Love Family Care Inc | Home Health | 213 N. Carolina St., Goldsboro, NC 27530 | 2018-05-16 |
| 1609274687 | Tiffany Leanne Farmer | Counselor | 1184 Us Hwy 13 South, Goldsboro, NC 27530 | 2014-12-08 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1831408996 | At Home Senior Services, Inc. | Home Health | 203 N. Jackson Street Office C, Goldsboro, NC 27530 | 2010-10-06 |
| 1699946301 | Professional Group Living,llc | Community/Behavioral Health | 122 S. Center Street, Goldsboro, NC 27530 | 2008-03-20 |
| 1225250814 | Asa Living, Inc | Clinic/Center | 1308 Ben Brewington Court, Goldsboro, NC 27530 | 2007-05-03 |
| 1790907368 | Tammy Jo Hood | Licensed Practical Nurse | 1700 East Ash Street St. 200, Goldsboro, NC 27530 | 2007-05-03 |
| 1558487421 | Alternative Care Treatments Systems, Inc | Community/Behavioral Health | 139-b Center Street, Goldsboro, NC 27530 | 2007-03-22 |
| 1831221050 | Matthew Gay Delbridge | Dentist | 206 West Ash St, Goldsboro, NC 27530 | 2007-03-12 |
| 1508998295 | Emeritus Corporation | Assisted Living Facility | 380 County Day Road, Goldsboro, NC 27530 | 2007-03-09 |
| Find all providers in zip 27530 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760774087 | Brian Henry Huggins | Preventive Medicine | Unc Preventive Medicine Residency, 590 Manning Drive Cb 7595, Chapel Hill, NC 27599 | 2011-05-04 |
| 1598835373 | Health Status Evaluations LLC | Preventive Medicine | 3801 N Liberty St, Suite 210 Smith Reynolds Airport Terminal, Winston Salem, NC 27105-3968 | 2006-11-08 |
| 1578643797 | Anthony C Littrell | Preventive Medicine | Womack Army Medical Center Wamc, Credentials Office, Fort Bragg, NC 28310-0001 | 2006-10-16 |
| 1457367245 | Johann S Westphall | Preventive Medicine | 933 Dalmore Dr., Fayetteville, NC 28311 | 2006-07-31 |
| 1487626800 | Peter Wechgelaer | Preventive Medicine | Medical Clinic Mcas New River, Psc Box 21034, Jacksonville, NC 28545-1034 | 2006-02-02 |
| 1912977125 | Timothy Mattison | Preventive Medicine | 100 Brewster Blvd Bldg H100, Camp Lejeune, NC 28547-2575 | 2006-01-23 |
| 1730181199 | David Andrew Staneck | Preventive Medicine | Halyburton Naval Hospital Beaufort Rd, Bldg 3489, Cherry Point, NC 28533 | 2005-08-15 |
| 1518239748 | Andrew Brett Sorah | Preventive Medicine | 1000 Blythe Blvd, Suite 601, Charlotte, NC 28203-5812 | 2012-02-03 |
| 1255507208 | Andrew Michael Paul | Preventive Medicine | 4389 Beaufort Rd, Mcas Cherry Point, Havelock, NC 28533 | 2008-04-30 |
| 1063502862 | Nicholas Nathan Sweet | Preventive Medicine | 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | 2006-10-13 |
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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.