MR. RONALD BACZURIK (NPI# 1265468771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265468771 |
| Entity Type | Individual |
| Full Name | MR. RONALD BACZURIK |
| Practice Address |
847 W Lake Dr Mount Airy NC 27030-2157 |
| Mailing Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1894 |
| Practice Telephone | 3367836919 |
| Practice Fax Number | 3367836923 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2776 | NC | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1845 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6104976 | 05 |
| Street Address |
847 W LAKE DR |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558236 | Stephanie Edwards Allen | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2020-01-28 |
| 1811558596 | Sydney Elizabeth Dockery | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2019-06-24 |
| 1407338239 | Deanna Lee Heath | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2018-08-29 |
| 1427543149 | Haley Mccoin Sullivan | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2018-06-25 |
| 1861937922 | Rachel Butts Smith | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2016-12-28 |
| 1619340106 | Kimberly A Bowers | Social Worker | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2015-11-05 |
| 1093198954 | Ritchie D Puckett | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2015-07-09 |
| 1881094175 | Tabatha Points | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2014-08-25 |
| 1225460033 | Betty Lovell | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2013-08-02 |
| 1558601658 | John Deir | Counselor | 847 W Lake Dr, Mount Airy, NC 27030-2157 | 2013-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1023658028 | Lauren Robbins | Counselor | 18 Park Ave, Mount Airy, MD 21771-5438 | 2020-01-08 |
| 1033635305 | Diane Harper | Counselor | 154 N Renfro St Ste 100, Mount Airy, NC 27030-3879 | 2017-08-18 |
| 1295172831 | Whitney Blackwell Smith | Counselor | 3615 Rockford St, Mount Airy, NC 27030-7847 | 2013-05-22 |
| 1699026567 | Laura Morlok | Counselor | 18 Park Avenue, Mount Airy, MD 21771 | 2012-10-01 |
| 1679889083 | Amanda Draughn | Counselor | 319 S Main St Ste 304, Mount Airy, NC 27030-4715 | 2010-08-23 |
| 1669799805 | Michael Wayne Wall | Counselor | 784 W Lebanon St, Mount Airy, NC 27030-2218 | 2010-04-28 |
| 1760533582 | Mary Ann Russo | Counselor | 5303 Concord Ct, Mount Airy, MD 21771-5814 | 2007-01-16 |
| 1619988235 | Graciela Liliana Bilis | Counselor | 3661 Camelback Dr, Mount Airy, MD 21771-8074 | 2006-08-10 |
| 1992733067 | Joanna Refvem | Counselor | 201 Main Street, 3rd Floor, Mount Airy, NC 27030 | 2006-06-29 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on MR. RONALD BACZURIK.
| 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.