SOUTHEASTERN HEALTH PHYSICIAN SERVICES (NPI# 1255725024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255725024 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN HEALTH PHYSICIAN SERVICES |
| Other Organization Name | SOUTHEASTERN HEALTH DIGESTIVE CENTER |
| Practice Address |
725 Oakridge Blvd Ste C1 Lumberton NC 28358-2351 |
| Practice Telephone | 9107383103 |
| Practice Fax Number | 9107383465 |
| Mailing Telephone | 9107383103 |
| Mailing Fax Number | 9107383465 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | FORDHAM B BRITT (DIRECTOR) |
| Authorized Official Telephone | 9106715026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southeastern Health Digestive Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578957346 | Southeastern Health Physician Services | General Practice | 725 Oakridge Blvd. Suite B2, Lumberton, NC 28358 | 2015-03-19 |
| 1346632593 | Southeastern Health Physician Services | General Practice | 2634 N Elm St. Suite G, Lumberton, NC 28358 | 2015-02-25 |
| 1720434525 | Southeastern Health Physician Services | Clinic/Center | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 | 2016-05-11 |
| 1518351279 | Southeastern Health Physician Services | Ophthalmology | 4311 Ludgate St, Lumberton, NC 28358-2460 | 2015-03-20 |
| 1801280672 | Southeastern Health Physician Services | Internal Medicine | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2015-03-19 |
| 1851784995 | Southeastern Health Physician Services | Internal Medicine | 401 W 27th St, Lumberton, NC 28358-3019 | 2015-03-13 |
| 1386037539 | Southeastern Health Physician Services | General Practice | 1921 White Lake Dr, Elizabethtown, NC 28337-6236 | 2015-03-12 |
| 1073906228 | Southeastern Health Physician Services | General Practice | 1249 Chicken Foot Rd, Hope Mills, NC 28348-7525 | 2015-03-12 |
| Street Address |
725 OAKRIDGE BLVD STE C1 |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720011570 | Antonio Reyes-beltran | Internal Medicine | 725 Oakridge Blvd Ste C1, Lumberton, NC 28358-2351 | 2006-07-07 |
| 1912568122 | Candace Locklear Dean | Nurse Practitioner | 725 Oakridge Blvd Ste C1, Lumberton, NC 28358-2351 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1568414720 | Kwadwo Agyei-gyamfi | Internal Medicine | 4348 Fayetteville Rd, Lumberton, NC 28358-2677 | 2006-05-16 |
| 1831196450 | Gregory Locklear | Internal Medicine | 1011 Woodridge Dr, Lumberton, NC 28358-3328 | 2005-06-29 |
| 1801280672 | Southeastern Health Physician Services | Internal Medicine | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2015-03-19 |
| 1255659868 | Mayank Lahoti | Internal Medicine | 693 Main St Ste 2, Lumberton, NJ 08048-5043 | 2010-05-06 |
| 1750334538 | Maurice David Leonard | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-19 |
| 1992759757 | William Herman Taub | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-19 |
| 1801840665 | Jeffrey Joseph Kutscher | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-19 |
| 1174576359 | Lee Delacy | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-18 |
| 1427001601 | Hugh Martin Lasch | Internal Medicine | 693 Main St, Bldg A Suite 2, Lumberton, NJ 08048 | 2006-05-18 |
| 1902859184 | Nidhir Ras Sheth | Internal Medicine | 693 Main St, Bldg A Ste 2, Lumberton, NJ 08048 | 2006-05-18 |
| Find all providers in LUMBERTON | ||||
Please comment or provide details below to improve the information on SOUTHEASTERN HEALTH PHYSICIAN SERVICES.
| 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.