DR. IRMA FIORDALISI


Address: 600 Moye Blvd, Ecu Physicians Pediatric Specialty Care Clinic, Greenville, NC 27834-4300
Phone: 2527442335

DR. IRMA FIORDALISI (NPI# 1275534844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275534844
Entity Type Individual
Full Name DR. IRMA FIORDALISI
Credential MD
Practice Address 600 Moye Blvd
Ecu Physicians Pediatric Specialty Care Clinic
Greenville
NC 27834-4300
Mailing Address Po Box 751069
Charlotte
NC 28275-1069
Practice Telephone 2527442335
Practice Fax Number 2527443811
Mailing Telephone 2527443253
Mailing Fax Number 2527443194
Enumeration Date 2005-08-04
Last Update Date 2011-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
34602 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8932079 05
NC BCBS NC 32079 01
NC RAILROAD MEDICARE 370015144 01

Office Location

Street Address 600 MOYE BLVD
ECU PHYSICIANS PEDIATRIC SPECIALTY CARE CLINIC
City GREENVILLE
State NC
Zip Code 27834-4300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467455600 Fiona Cook Internal Medicine 600 Moye Blvd, Ecu Physicians Endocrinology, Greenville, NC 27834-4300 2005-05-23
1851904999 Tyler Nigele Edgerton Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-08-28
1366054272 Mallory Claire Savidge Social Worker 600 Moye Blvd, Greenville, NC 27834-4300 2020-08-21
1336759109 Jessica Veale Physician Assistant 600 Moye Blvd, Greenville, NC 27834-4300 2020-08-05
1942819990 Ryan Grabiec Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-07-27
1215545157 Rewati Bhattarai Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-07-16
1629686860 Amanda Foy Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-07-14
1477179927 Rebecca Ann Baietto Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834 2020-06-21
1720604416 Dylan Joseph Defauw Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-06-18
1003432790 Joshua L Mcdaniel Student in an Organized Health Care Education/Training Program 600 Moye Blvd, Greenville, NC 27834-4300 2020-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093157828 Kathryn Anne Best Pediatrics 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2013-07-22
1568751824 Keegan J Ziemba Pediatrics 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2011-04-06
1396971776 Kerry Catherine Shum Pediatrics 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2009-05-30
1649473299 Matthew R Ledoux Pediatrics 600 Moye Blvd, Ecu Physicians Pediatrics Critical Care, Greenville, NC 27834-4300 2007-06-08
1427125970 Jeffrey E Schmidt Pediatrics 600 Moye Blvd, Ecu Physicians Pediatrics, Greenville, NC 27834-4300 2006-11-29
1487607560 Robert Sanders Seigler Sr. Pediatrics 701 Grove Rd, 6th Floor, Support Tower, Greenville, SC 29605-5611 2006-05-18
1821047895 Eric Lee Berning Pediatrics 701 Grove Rd, 6th Floor, Support Tower, Greenville, SC 29605-4210 2006-05-08
1659329373 Darryl Royce Gwyn Pediatrics 701 Grove Rd, 6th Floor, Support Tower, Greenville, SC 29605-5611 2006-05-05
1952359317 Michael Grant Avant Pediatrics 701 Grove Rd, 6th Floor, Support Tower, Greenville, SC 29605-5611 2006-05-05
1619937760 Nina Jamie Verdino Pediatrics 600 Moye Blvd, Ecu Physicians Pediatric Critical Care Medicine, Greenville, NC 27834-4300 2006-03-24
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Competitor

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City GREENVILLE
Zip Code 27834

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Dataset Information

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.

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