DR. HARLAN BEAVER DAUBERT (NPI# 1356306922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356306922 |
| Entity Type | Individual |
| Full Name | DR. HARLAN BEAVER DAUBERT |
| Credential | M.D. |
| Practice Address |
170 Kimel Park Dr Winston-salem NC 27103-6946 |
| Mailing Address |
4601 Park Rd Suite 300 Charlotte NC 28209-3239 |
| Practice Telephone | 7043232000 |
| Mailing Telephone | 7043232000 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2016-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
35623 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1356306922 | 05 |
| Street Address |
170 KIMEL PARK DR |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659307023 | Molly R. Southern | Physical Therapist | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-06-25 |
| 1982640322 | Cathy Paul Phelps | Physician Assistant | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-06-22 |
| 1013951680 | Suzonne Ijames Stratton | Physician Assistant | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-06-15 |
| 1568409779 | Sandra Denise Martin | Occupational Therapist | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-05-31 |
| 1982662359 | John Edward Ritchie | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-05-03 |
| 1750349130 | Charles Van Taft | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-05-03 |
| 1538127303 | Frank Edward Pollock Jr. | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-05-02 |
| 1417913401 | Stephan Bechtler Lowe | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-26 |
| 1023074432 | Alonzo Dixon Kornegay | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-25 |
| 1134185697 | Timothy Wade Mcgowen | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144728429 | Select Care of Nc, LLC | Orthopaedic Surgery | 15720 Brixham Hill Ave Ste 300a, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1326546607 | Joint Replacement Cin of Charlotte LLC | Orthopaedic Surgery | 15720 Brixham Hill Ave Ste 300b, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1336647619 | Spine Cin of Raleigh LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1518465897 | Joint Replacement Cin of Raleigh LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-278, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1407159387 | Lee A Whitehurst | Orthopaedic Surgery | 1401 Landfall Dr, Wilmington, NC 28405-4251 | 2010-12-14 |
| 1447553870 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 | 2010-12-07 |
| 1043421076 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 200 W Parkview Dr Ste B, Henderson, NC 27536-5958 | 2007-05-24 |
| 1083651863 | James Edwin Rice | Orthopaedic Surgery | 4 Braemar Court, Turnberry Woods, Pinehurst, NC 28374 | 2006-06-01 |
| 1386107159 | Snc Care of Nc, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1033672803 | Snc Care of Nc IIi, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
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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.