KENNETH SCOTT GARM (NPI# 1386649770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386649770 |
| Entity Type | Individual |
| Full Name | KENNETH SCOTT GARM |
| Credential | MD |
| Practice Address |
1414 Physicians Dr Wilmington NC 28401-7335 |
| Practice Telephone | 9107967900 |
| Practice Fax Number | 9107967901 |
| Mailing Telephone | 9107967900 |
| Mailing Fax Number | 9107967901 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2014-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 29838 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 34532 | 01 |
| NC | RAILROAD MEDICARE | 930040269 | 01 |
| NC | RAILROAD MEDICARE | 930077052 | 01 |
| NC | MEDCOST | B4546 | 01 |
| SC | Q29838 | 05 | |
| NC | 8934532 | 05 | |
| NC | UNITED HEALTHCARE | 01-28853 | 01 |
| Street Address |
1414 PHYSICIANS DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404555 | Lindsay Elizabeth Hayes | Social Worker | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2020-07-08 |
| 1669012563 | Lower Cape Fear Hospice Incorporated | In Home Supportive Care | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2020-01-09 |
| 1790258234 | Lower Cape Fear Hospice, Incorporated | Internal Medicine | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2019-01-08 |
| 1033472139 | Renata Conde-zuege | Nurse Practitioner | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2012-06-22 |
| 1396034310 | Susan Nicole Mcinnis | Nurse Practitioner | 1414 Physicians Dr, Wilmington, NC 28401 | 2011-03-30 |
| 1609176387 | Corda Johnson | Nurse Practitioner | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2010-10-27 |
| 1578739421 | Gail Yeremian Lux | Family Medicine | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2008-05-01 |
| 1730393893 | Tracy Moore | Nurse Practitioner | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2007-05-09 |
| 1609934819 | Samuel Martin Kneece | Psychiatry & Neurology | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2006-12-04 |
| 1881614089 | Delayne Godwin | Nurse Practitioner | 1414 Physicians Dr, Wilmington, NC 28401-7335 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558755165 | Ecep II Pa | Emergency Medicine | 151 Scotts Hill Medical Drive, Wilmington, NC 28411-9999 | 2015-03-20 |
| 1629393574 | Brian James Mcgrath Jr. | Emergency Medicine | Eastern Carolina Emergency Physicians, 4402 Shipyard Boulevard, Wilmington, NC 28403 | 2010-04-05 |
| 1821261819 | Pearlie Bradford Watkins IIi | Emergency Medicine | 4402 Shipyard Blvd., Eastern Carolina Emergency Physicians, Wilmington, NC 28403 | 2008-04-10 |
| 1124225057 | Vein Specialists of North Carolina, Pa | Emergency Medicine | 6752 Rock Spring Road, Suite #200, Wilmington, NC 28405 | 2007-07-03 |
| 1255450417 | James K. Bouzoukis | Emergency Medicine | 111 Wayland Rd, Wilmington, DE 19807-2529 | 2007-03-28 |
| 1164571907 | Heather M Schulte | Emergency Medicine | 488 Ireland Rd, Wilmington, OH 45177-9706 | 2007-01-10 |
| 1992871917 | Ecep II Pa | Emergency Medicine | 5301 Wrightsville Ave, Wilmington, NC 28403-6510 | 2006-11-28 |
| 1194824177 | Vijay Ramchandra Randive | Emergency Medicine | 6932j Market Street, Wilmington, NC 28411 | 2006-09-22 |
| 1538195540 | Ronald Charles Demas | Emergency Medicine | 608 Dawson Street, Suite 101, Wilmington, NC 28401 | 2006-06-23 |
| 1760439038 | Shashikala J Patel | Emergency Medicine | 7th and Clayton Streets, Wilmington, DE 19805 | 2006-05-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.