DR. GEORGE JOHN DEMETRI JR. (NPI# 1407891955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407891955 |
| Entity Type | Individual |
| Full Name | DR. GEORGE JOHN DEMETRI JR. |
| Credential | DPM |
| Practice Address |
7300 S Raeford Rd Fayetteville NC 28304-6162 |
| Mailing Address |
3102 Hyman Pl Fayetteville NC 28303-5127 |
| Practice Telephone | 9104882120 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
240 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890805F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267093 | George D Demetri | Internal Medicine | 450 Brookline Ave, Dfci, D1212, Boston, MA 02215-5418 | 2006-03-07 |
| Street Address |
7300 S RAEFORD RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-6162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912369 | Albert Vazquez Lugo | Urology | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2005-06-14 |
| 1730795642 | Kathleen Herring Holmes | Social Worker | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2020-09-17 |
| 1033742515 | Cynthia Thompkins | Nurse Practitioner | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2020-02-12 |
| 1588202667 | Jacquelyn Marie Parker | Dietitian, Registered | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2019-12-19 |
| 1861043465 | Karen Parnell | Respiratory Therapist, Registered | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2019-09-25 |
| 1073169959 | Rhomela Imperial Lindo | Nurse Practitioner | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2019-08-15 |
| 1245884428 | Terry Mead Binkley | Respiratory Therapist, Registered | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2019-07-26 |
| 1215581491 | Kelley Andrea Willis | Respiratory Therapist, Registered | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2019-07-26 |
| 1730733908 | Kim Marie Russell | Respiratory Therapist, Registered | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2019-07-26 |
| 1568015964 | Arlene Rice | Respiratory Therapist, Registered | 7300 S Raeford Rd, Fayetteville, NC 28304-6162 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609288984 | Aaron Teufel | Podiatrist | 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703 | 2014-05-21 |
| 1073852786 | Ankle and Foot Clinic of Georgia, Inc. | Podiatrist | 730 Lanier Ave W, Fayetteville, GA 30214-1509 | 2013-02-01 |
| 1841597499 | American Foot & Leg Specialists, P.C. | Podiatrist | 122 N Park Dr, Fayetteville, GA 30214 | 2011-02-17 |
| 1821132424 | Fayetteville Foot and Ankle Center | Podiatrist | 503 Owen Dr, Fayetteville, NC 28304-3433 | 2007-02-16 |
| 1861496754 | Gregory Alvarez | Podiatrist | 265 N Jeff Davis Dr, Fayetteville, GA 30214-1625 | 2005-06-08 |
| 1619533692 | Arkansas Foot & Ankle Specialists | Podiatrist | 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703-5257 | 2019-05-15 |
| 1376906735 | Hughey Colton Carter | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304 | 2016-04-03 |
| 1710256003 | Ozark Foot & Ankle Plc | Podiatrist | 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703-6514 | 2011-12-15 |
| 1508155037 | Easy Walk Foot Clinic LLC | Podiatrist | 101 Beckett Ln, Suite 104, Fayetteville, GA 30214-7155 | 2011-04-05 |
| 1972827988 | Roberto Bermudez | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304-3861 | 2010-03-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.