WILLIAM BLAKE PEMBERTON


Address: 1010 College St, Oxford, NC 27565-2507
Phone: 9196903000

WILLIAM BLAKE PEMBERTON (NPI# 1477998664) 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) 1477998664
Entity Type Individual
Full Name WILLIAM BLAKE PEMBERTON
Credential M.D.
Practice Address 1010 College St
Oxford
NC 27565-2507
Mailing Address 210 Towne Village Dr
Cary
NC 27513-8910
Practice Telephone 9196903000
Mailing Telephone 9198593373
Mailing Fax Number 9193364363
Enumeration Date 2013-05-02
Last Update Date 2020-05-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine ME142310 FL Allopathic & Osteopathic Physicians
Y 207P00000X Emergency Medicine 2015-01934 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL FL MEDICARE L2853 01

Office Location

Street Address 1010 COLLEGE ST
City OXFORD
State NC
Zip Code 27565-2507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295714491 Virginia S Fuller Anesthesiology 1010 College St, Anesthesia Dept, Oxford, NC 27565-2507 2006-01-16
1528628542 Candice Ryan Nurse Practitioner 1010 College St, Oxford, NC 27565-2507 2019-06-20
1942761549 Ann Thompson Registered Nurse 1010 College St, Oxford, NC 27565-2507 2019-03-27
1285118802 Perioperative Specialists of North Carolina Anesthesiology 1010 College St, Oxford, NC 27565-2507 2018-09-19
1487156303 April Keith Nurse Practitioner 1010 College St, Oxford, NC 27565-2507 2018-03-07
1467953000 Monica Jeanne Boyer Specialist/Technologist 1010 College St, Oxford, NC 27565-2507 2018-02-27
1245742246 Daniel Reilly Physical Therapist 1010 College St, Oxford, NC 27565-2507 2017-10-30
1649656729 Rachelle Turner Brogden Registered Nurse 1010 College St, Oxford, NC 27565-2507 2015-07-30
1972842839 Wake Emergency Physicians Pa Emergency Medicine 1010 College St, Oxford, NC 27565 2013-02-12
1053619072 Granville Health System Dietitian, Registered 1010 College St, Oxford, NC 27565-2507 2011-03-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497378855 Champion Heart and Vascular Center, Oxford Pllc Internal Medicine 1614 Williamsboro Street, Oxford, NC 27565 2020-05-20
1528536059 Bridget Shouse Clark Social Worker 6271 Horner Siding Rd, Oxford, NC 27565 2018-11-02
1972038495 Brittany Adams Pharmacist 215 Williamsboro Street, Oxford, NC 27565 2017-04-21
1487199568 Duke University Affiliated Physicians, Inc. Family Medicine 1490 Williamsboro St., Oxford, NC 27565 2016-12-29
1801343819 Four County Orthopedics Pa Orthopaedic Surgery 103 Professional Park Drive, Suite C, Oxford, NC 27565 2016-09-07
1548644842 Drake Frazier and Mcneal, Dds, Pa Dentist 115 Williamsboro St., Oxford, NC 27565 2015-07-16
1982082251 Colleen Moore Pharmacist 700 B Hillsboro St, Oxford, NC 27565 2015-05-07
1073753497 Yashica Yvonne Ruffin Family Medicine 1015 Lewis Street, Oxford, NC 27565 2009-02-25
1205021631 Helping Hands Alternative Inc Home Health 121 East Mcclanahan Street, Oxford, NC 27565 2007-09-10
1730380874 Hushang Ghodrat, Dds, Pa Dentist 1419 College Street, Suite B, Oxford, NC 27565 2007-05-29
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437311768 Sherry Hanna Emergency Medicine 699 Bay Pointe Dr, Oxford, MI 48371-5155 2008-06-27
1477649218 Thomas D Fowlkes Emergency Medicine 1916 University Ave, Oxford, MS 38655-4114 2006-10-05
1134142250 Shellie Vernon Mitchell Emergency Medicine 223 Woodland Hills Dr, Oxford, MS 38655-9771 2006-07-26
1588612014 Charlie G Williams Emergency Medicine 620 Quintard Dr, Oxford, AL 36203-1840 2006-05-05
1093794869 William Douglas Ross Emergency Medicine 5151 Morning Sun Rd, Ste A, Oxford, OH 45056-9545 2006-01-11
1720067739 Edwin Anderson Keel Emergency Medicine 1612 Us Highway 78 E, Suite 100, Oxford, AL 36203-5862 2006-01-10
1386635498 Jose M Oblena Emergency Medicine 1713 Hamric Dr. E, Ste. B, Oxford, AL 36203 2005-10-31
1821449505 Ashlee Barker Emergency Medicine 270 S Locust St, Oxford, OH 45056-1718 2016-06-24
1598182826 Patrick Louis Carr Emergency Medicine 1100 Belk Blvd, Oxford, MS 38655-5242 2014-03-25
1972842839 Wake Emergency Physicians Pa Emergency Medicine 1010 College St, Oxford, NC 27565 2013-02-12
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Competitor

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City OXFORD
Zip Code 27565

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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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