PAUL C. WHITESIDES JR. (NPI# 1417941956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417941956 |
| Entity Type | Individual |
| Full Name | PAUL C. WHITESIDES JR. |
| Credential | M.D. |
| Practice Address |
75 Emerson Bay Rd Suite 102 Carolina Shores NC 28467-2498 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 9105798363 |
| Practice Fax Number | 9105798306 |
| Mailing Telephone | 9105798363 |
| Mailing Fax Number | 9105798306 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
25968 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | 110065492 | 01 |
| NC | 8987175 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629163639 | Paul D Whitesides | Optometrist | 999 N Curtis Rd, # 205, Boise, ID 83706-9999 | 2006-10-04 |
| Street Address |
75 EMERSON BAY RD SUITE 102 |
| City | CAROLINA SHORES |
| State | NC |
| Zip Code | 28467-2498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356705479 | Novant Medical Group, Inc | Urology | 75 Emerson Bay Rd, Suite 102, Carolina Shores, NC 28467-2498 | 2016-04-06 |
| 1073951802 | Stefani Connel | Family Medicine | 75 Emerson Bay Rd, Suite 102, Carolina Shores, NC 28467-2498 | 2013-06-14 |
| 1114903143 | Candice M Sieben | Family Medicine | 75 Emerson Bay Rd, Suite 102, Carolina Shores, NC 28467-2498 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052098 | Felicia Lavern Gore | Adult Companion | 330 Treeacres Circle Nw, Calabash, NC 28467 | 2018-05-10 |
| 1063914000 | Connor David Price | Occupational Therapist | 9600 Number 5 School Road Northwest, Calabash, NC 28467 | 2018-03-06 |
| 1508115569 | Edward Ragland Thomas Iv | Pharmacist | 10227 Beach Drive Sw, Calabash, NC 28467 | 2012-09-06 |
| 1194941286 | Calabash Family Pharmacy Inc | Pharmacy | 10080 Beach Drive Sw, Calabash, NC 28467 | 2007-04-17 |
| 1639210529 | Forever Yours, Inc | Durable Medical Equipment & Medical Supplies | 262 Koolabrew Drive, Calabash, NC 28467 | 2007-02-12 |
| 1629123807 | Thomas Drugs Inc | Durable Medical Equipment & Medical Supplies | 10227 Beach Drive, Calabash, NC 28467 | 2007-01-25 |
| 1417027046 | Pamela C Neves | Counselor | Old Georgetown Centre Hwy 179, Suite 9, Calabash, NC 28467 | 2006-11-09 |
| 1164533493 | David Philip Deeb | Dentist | 10271 Beach Dr Sw, Calabash, NC 28467 | 2006-08-31 |
| 1144331471 | Deeb & Fanning Dds Pa | Dentist | 10271 Beach Drive Sw, Calabash, NC 28467 | 2006-08-31 |
| 1588770002 | Ted Hadley Sanders | Dentist | 9220-1 Beach Dr Sw, Calabash, NC 28467 | 2006-08-21 |
| Find all providers in zip 28467 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184030595 | Eric Lewis | Internal Medicine | 306 Parkridge Ave, Chapel Hill, NC 27517-8137 | 2014-07-07 |
| 1588077176 | Greensboro Endocrinology Pllc | Internal Medicine | 7 Corporate Center Ct Ste C, Greensboro, NC 27408-3839 | 2014-06-11 |
| 1043656770 | Thomas Cary Cameron | Internal Medicine | Division of Endocrinology & Metabolism, 8025 Burnett Womack Building, Chapel Hill, NC 27599-7170 | 2013-05-21 |
| 1033489216 | Tesfaye D Fanta Md Pllc | Internal Medicine | 910 W Harrison St, Reidsville, NC 27320-3324 | 2012-01-05 |
| 1548556749 | Leah Elizabeth Kang-oh | Internal Medicine | 755 Highland Oaks Dr Suite 201, Winston-salem, NC 27103 | 2011-06-26 |
| 1558656702 | Diabetes Management Solutions | Internal Medicine | 1100 Navaho Dr Ste 249, Raleigh, NC 27609-7364 | 2011-06-16 |
| 1174813570 | Chinenyenwa Usoh | Internal Medicine | 4610 Country Club Rd, Winston Salem, NC 27104-3520 | 2011-04-19 |
| 1366745259 | Carolinas Physicians Network Inc | Internal Medicine | 908 Donita Drive, Lincolnton, NC 28092-3643 | 2010-12-15 |
| 1982916342 | Vengamamba Polu | Internal Medicine | 701 Doctors Dr Ste D, Kinston, NC 28501-1584 | 2010-07-13 |
| 1073838132 | Alexandria Atuahene Opata | Internal Medicine | 16525 Holly Crest Ln Ste 230, Huntersville, NC 28078-4912 | 2010-04-01 |
| Find all providers with the same taxonomy | ||||
| City | CAROLINA SHORES |
| Zip Code | 28467 |
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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.