SAMUEL DUBOSE RAVENEL


Address: 1814 Westchester Drive, Suite 203, High Point, NC 27262-3832
Phone: 3368022100

SAMUEL DUBOSE RAVENEL (NPI# 1447297635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447297635
Entity Type Individual
Full Name SAMUEL DUBOSE RAVENEL
Credential MD
Practice Address 1814 Westchester Drive
Suite 203
High Point
NC 27262-3832
Mailing Address 1701 Westchester Drive
Suite 850
High Point
NC 27262-7254
Practice Telephone 3368022100
Practice Fax Number 3368022101
Mailing Telephone 3368022400
Mailing Fax Number 3368022534
Enumeration Date 2006-05-31
Last Update Date 2010-03-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 14283 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 8970539 05

Other Providers SAMUEL RAVENEL

NPI Name Taxonomy Address Enumeration
1184679375 Samuel Fitzsimons Ravenel II Pediatrics 470 S Highway 29 Ste 2, Cantonment, FL 32533-6314 2006-05-24

Office Location

Street Address 1814 WESTCHESTER DRIVE
SUITE 203
City HIGH POINT
State NC
Zip Code 27262-3832

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265400758 Marta Llibre Internal Medicine 1814 Westchester Drive, Suite 301, High Point, NC 27262-7369 2006-03-09
1467739458 Dawn Metcalf Nurse Practitioner 1814 Westchester Drive, Suite 301, High Point, NC 27262-7369 2011-11-04
1659674075 Tiffany Amanda Merritt Pinnix Pharmacist 1814 Westchester Drive, Suite 301, High Point, NC 27262-7369 2010-12-07
1053620005 Cornerstone Health Care, Pa Surgery 1814 Westchester Drive, Suite 301, High Point, NC 27262-7369 2010-09-24
1225345697 Karen D Pollard Psychologist 1814 Westchester Drive, Suite 402, High Point, NC 27262-7369 2010-09-08
1467789313 Cornerstone Health Care LLC Internal Medicine 1814 Westchester Drive, Suite 302, High Point, NC 27262-7369 2009-11-13
1003042409 Nikhil Teppara Surgery 1814 Westchester Drive, Suite 101, High Point, NC 27262-7369 2009-06-01
1902096779 Myra Frazier Clinical Nurse Specialist 1814 Westchester Drive, Suite 301, High Point, NC 27262-7369 2007-07-27
1760698146 Deborah Lynette Kirby Psychiatry & Neurology 1814 Westchester Drive, Suite 401, High Point, NC 27262-7369 2007-05-15
1013037456 Laura Suzanne Conner Pharmacist 1814 Westchester Drive, Suite 301, High Point, NC 27262-7369 2007-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821623620 Lane and Associates Xxxviii Dds Pa Dentist 101 Northpoint Avenue, High Point, NC 27262 2020-03-12
1043869936 Norma Mechelle Cox Technician 1145 Hawick Dr, High Point, NC 27262 2019-09-04
1417514910 Jennifer A. Loveland Dmd II Pllc Dentist 1007 Phillips Avenue, Suite 103, High Point, NC 27262 2019-05-21
1982175196 World Relief Corp of National Association of Evangelicals Marriage & Family Therapist 155 Northpoint Avenue, Suite 102, High Point, NC 27262 2018-12-16
1538679907 Zackary Daniel Rogers Physician Assistant 1814 Westchester Dr #301, High Point, NC 27262 2017-10-11
1184164162 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2005 N Main St., Suite 101, High Point, NC 27262 2017-02-24
1225483951 Randall Godette Physician Assistant 611 Lindsay Street, High Point, NC 27262 2016-05-02
1336537356 Optics, Inc. Durable Medical Equipment & Medical Supplies 1105 Lindsay Street, High Point, NC 27262 2014-12-29
1871902346 Isha Bangura Counselor 910 Mill Ave., High Point, NC 27262 2014-08-08
1831478833 Jenny Susan Mason Specialist/Technologist 922 West College Dr, High Point, NC 27262 2011-08-08
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407355704 Triad Pediatrics, PC Pediatrics 2754 Hwy 68, Suite 111, High Point, NC 27265 2018-02-02
1326400839 Janie Christine Ogle Pediatrics 2754 Nc- 68 N, Suite 111, High Point, NC 27265-0298 2016-03-23
1992005805 Community Connections Family Life Center LLC Pediatrics 622 N Hamilton St, Suite 104, High Point, NC 27262-4076 2010-10-26
1922198977 High Point Pediatrics Pediatrics 404 Westwood Ave Ste 103, High Point, NC 27262 2006-10-13
1922010768 David R Olson Pediatrics 2754 Nc Highway 68 S Ste 111, High Point, NC 27265 2006-08-12
1679595995 Anne Lule-kiwanuka Pediatrics 1300 N University Pkwy, High Point, NC 27262-3456 2006-07-24
1043257231 Gregory Carl Ellis Pediatrics 1224 Eastchester Dr, High Point, NC 27265-3116 2006-05-31
1982687117 Jessica Vandeven Pediatrics 2754 Nc-68, Suite 111, High Point, NC 27265 2005-11-22
1467451187 Easwar Ramadoss Pediatrics 624 Quaker Ln Ste 200d, High Point, NC 27262-3800 2005-07-14
1366447807 Amy H Eubanks Pediatrics 1701 Westchester Dr, Suite 850, High Point, NC 27262-7008 2005-06-20
Find all providers in HIGH POINT

Competitor

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City HIGH POINT
Zip Code 27262

Improve Information

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Dataset Information

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.

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