STANTON W EZZELL (NPI# 1407920739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407920739 |
| Entity Type | Individual |
| Full Name | STANTON W EZZELL |
| Credential | NP |
| Practice Address |
703 Newman Rd New Bern NC 28562-5239 |
| Practice Telephone | 2526355290 |
| Practice Fax Number | 2526339609 |
| Mailing Telephone | 2526355290 |
| Mailing Fax Number | 2526339609 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
300311 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC MEDICAL LICENSE | 300311 | 01 |
| Street Address |
703 NEWMAN RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959651 | Charles Marston Crawford | Pediatrics | 703 Newman Rd, New Bern, NC 28562-5239 | 2005-06-01 |
| 1528414091 | Chelsea Elizabeth Fowler | Pediatrics | 703 Newman Rd, New Bern, NC 28562-5239 | 2016-05-13 |
| 1306220975 | Christeanna Winslow Richardson | Nurse Practitioner | 703 Newman Rd, New Bern, NC 28562-5239 | 2015-07-14 |
| 1316104607 | Coastal Childrens Clinic Inc | Pediatrics | 703 Newman Rd, New Bern, NC 28562-5239 | 2008-05-22 |
| 1639386329 | Kelly Renee Grove | Pediatrics | 703 Newman Rd, New Bern, NC 28562-5239 | 2007-05-16 |
| 1235355918 | David Thomas Tayloe IIi | Pediatrics | 703 Newman Rd, Coastal Children's Clinic, New Bern, NC 28562-5239 | 2007-04-18 |
| 1366418816 | Coastal Childrens Clinic | Pediatrics | 703 Newman Rd, New Bern, NC 28562-5239 | 2006-02-24 |
| 1326049990 | Melissa Lovette Hollifield | Nurse Practitioner | 703 Newman Rd, New Bern, NC 28562-5239 | 2005-08-09 |
| 1063416329 | Leeann B Skladan | Pediatrics | 703 Newman Rd, New Bern, NC 28562-5239 | 2005-06-02 |
| 1477555654 | Lisa M Kafer | Pediatrics | 703 Newman Rd, New Bern, NC 28562-5239 | 2005-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306220975 | Christeanna Winslow Richardson | Nurse Practitioner | 703 Newman Rd, New Bern, NC 28562-5239 | 2015-07-14 |
| 1053447870 | Stacie La Jeunesse | Nurse Practitioner | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STANTON W EZZELL.
| 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.