ALBEMARLE MEDICAL SPECIALIST,LLC (NPI# 1386849800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386849800 |
| Entity Type | Organization |
| Organization Name | ALBEMARLE MEDICAL SPECIALIST,LLC |
| Practice Address |
100 Medical Dr Elizabeth City NC 27909-3361 |
| Practice Telephone | 2523385183 |
| Practice Fax Number | 5253385669 |
| Mailing Telephone | 2523385183 |
| Mailing Fax Number | 5253385669 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEVEN P MANULI (CEO) |
| Authorized Official Telephone | 2523385183 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9601393 | NC | Other Service Providers |
| Street Address |
100 MEDICAL DR |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705326 | Anitra Hughes | Registered Nurse | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2018-10-04 |
| 1881146470 | Tyler Pittman | Family Medicine | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2016-10-29 |
| 1073813317 | Albemarle Physician Services - Sentara, Inc | Durable Medical Equipment & Medical Supplies | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2010-11-02 |
| 1962723817 | Richard Ian Wilson | Family Medicine | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2010-06-15 |
| 1235333584 | Manuli Internal Medicine, Pllc | Internal Medicine | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-06-12 |
| 1144368911 | Thomas Francis Harihan IIi | Physician Assistant | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-02-02 |
| 1013064187 | Julie Elizabeth Schanno | Nurse Practitioner | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2007-01-04 |
| 1073560272 | Stacey Beneck | Physician Assistant | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-05-31 |
| 1598719163 | Leslie S Deligio | Nurse Practitioner | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-05-19 |
| 1316999576 | Vilayphonh Eure | Physician Assistant | 100 Medical Dr, Elizabeth City, NC 27909-3361 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336422302 | Northside Park Gastroenterology & Endoscopy Center Pllc | Specialist | 102 Northside Park Dr, Elizabeth City, NC 27909 | 2011-09-26 |
| 1285758706 | Edward E Adkins Jr. | Specialist | 918 Halstead Blvd, Suite # E, Elizabeth City, NC 27909-7036 | 2007-03-19 |
| 1568474559 | Karl W Hubbard, Md Orthopedics & Sports Medicine | Specialist | 1140 N Road St, Elizabeth City, NC 27909-3353 | 2006-08-12 |
| 1073524146 | Albrecht Mark Heyder | Specialist | 111 Medical Dr Ste A, Elizabeth City, NC 27909-3465 | 2006-08-11 |
| 1902859374 | Peter V Mitrev | Specialist | 1503 N Road St, Elizabeth City, NC 27909-3243 | 2006-05-18 |
| 1326002767 | Steven M Faber | Specialist | 405 Hastings Ln, Elizabeth City, NC 27909-3327 | 2006-04-13 |
| 1629037445 | Tarkten A Pharr | Specialist | 1177 N Road St, Elizabeth City, NC 27909-3388 | 2006-03-21 |
| 1639143225 | Kurt L Hunsberger | Specialist | 102b Medical Dr, Elizabeth City, NC 27909-3361 | 2006-02-13 |
| 1104897537 | Stewart Cleaves Manning | Specialist | 1121 N Road St Ste A, Elizabeth City, NC 27909-3470 | 2006-02-01 |
| 1104825694 | Carolina Surgical Care Associates, P. A. | Specialist | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2005-07-18 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on ALBEMARLE MEDICAL SPECIALIST,LLC.
| 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.