DR. GEORGE VAN BUREN HUFFMON III (NPI# 1487626560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487626560 |
| Entity Type | Individual |
| Full Name | DR. GEORGE VAN BUREN HUFFMON III |
| Credential | MD |
| Practice Address |
2208 S 17th St Suite 201 Wilmington NC 28401-7515 |
| Mailing Address |
2208 S. 17th Street Suite 201 Wilmington NC 28401-7594 |
| Practice Telephone | 9107633333 |
| Practice Fax Number | 9107633336 |
| Mailing Telephone | 9107633333 |
| Mailing Fax Number | 9107633336 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 9800571 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | US DEPT OF LABOR ID | 104765400 | 01 |
| NC | 891134V | 05 | |
| NC | BLUE CROSS/BLUE SHIELD | 1134V | 01 |
| Street Address |
2208 S 17TH ST SUITE 201 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306307764 | Robin Rhyne Mclawhorn | Nurse Practitioner | 2208 S 17th St, Wilmington, NC 28401-7593 | 2019-03-28 |
| 1568844595 | Maria Luisa Stoute | Nurse Practitioner | 2208 S 17th St, Suite 201, Wilmington, NC 28401-7593 | 2015-06-26 |
| 1942621628 | Sheila Kubes | Physician Assistant | 2208 S 17th St, Wilmington, NC 28401 | 2013-12-23 |
| 1730514647 | Matthew Mcrae Spicer | Physician Assistant | 2208 S 17th St, Wilmington, NC 28401-7593 | 2013-09-10 |
| 1578848735 | Laura Ann Ivey | Physician Assistant | 2208 S 17th St, Wilmington, NC 28401-7593 | 2011-10-19 |
| 1891927620 | Rebecca Eileen Noell | Nurse Practitioner | 2208 S 17th St, Wilmington, NC 28401-7593 | 2009-08-12 |
| 1780835769 | John Alexander Thomas | Neurological Surgery | 2208 S 17th St, Suite 201, Wilmington, NC 28401-7593 | 2008-10-08 |
| 1679765648 | Anna Peacock Bettendorf | Physical Medicine & Rehabilitation | 2208 S 17th St, Second Floor, Wilmington, NC 28401-7593 | 2007-08-14 |
| 1134236078 | Peacock-bettendorf, LLC | Physical Medicine & Rehabilitation | 2208 S 17th St, Second Floor, Wilmington, NC 28401-7515 | 2006-08-24 |
| 1083653745 | Jack Llorrac Bagley | Physician Assistant | 2208 S 17th St, Wilmington, NC 28401-7593 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396703 | Jermaine Cannon | Specialist | 1 Murphy Rd, Wilmington, DE 19803-3044 | 2020-08-13 |
| 1467986778 | Sharrie Hanley | Specialist | 4701 Wrightsville Ave Bldg 1e2, Wilmington, NC 28403-6912 | 2017-04-13 |
| 1952843948 | Beyond Basics Salons Inc | Specialist | 1124 Floral Pkwy, Wilmington, NC 28403-6212 | 2016-11-08 |
| 1225586324 | Yay Ot 4 Kids, LLC | Specialist | 305 N 15th St, Wilmington, NC 28401-3813 | 2016-09-17 |
| 1053869511 | Kay Eileen Shoemaker | Specialist | 107 Florence Ave, Wilmington, DE 19803-2337 | 2016-09-13 |
| 1487000758 | Vamano Inc | Specialist | 5231 W Woodmill Dr, Suite 45, Wilmington, DE 19808-4068 | 2016-05-05 |
| 1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
| 1548646490 | Delvalley Healthcare LLC | Specialist | 2055 Limestone Rd Ste 201, Wilmington, DE 19808-5536 | 2015-08-03 |
| 1194123117 | Bharat Shah | Specialist | 166 Landis Way N, Wilmington, DE 19803-6408 | 2014-12-08 |
| 1477955748 | Amberly Tokoly | Specialist | 1717 Shipyard Blvd Ste 320, Wilmington, NC 28403-8019 | 2014-09-18 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on DR. GEORGE VAN BUREN HUFFMON III.
| 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.