MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPT (NPI# 1558345983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558345983 |
| Entity Type | Organization |
| Organization Name | MARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPT |
| Other Organization Name | MARTIN TYRRELL WASHINGTON DISTRICT DENTAL CLINIC |
| Practice Address |
198 Nc Highway 45 N Plymouth NC 27962-9232 |
| Practice Telephone | 2527933023 |
| Practice Fax Number | 2527913159 |
| Mailing Telephone | 2527933023 |
| Mailing Fax Number | 2527913159 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RONDA B PHELPS (ADMINISTRATIVE ASSISTANT II) |
| Authorized Official Telephone | 2527933023 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
========= | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS | 07059 | 01 |
| NC | 3404410 | 05 |
| Other Name | Type Code |
|---|---|
| Martin Tyrrell Washington District Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225334568 | Martin Tyrrell Washington District Health Dept | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2011-02-03 |
| Street Address |
198 NC HIGHWAY 45 N |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-9232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010210 | Martin-tyrrell-washington District Health Department | Hospice Care, Community Based | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2005-08-16 |
| 1467971325 | Tiffany Gray Moon | Nurse Practitioner | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2017-09-12 |
| 1083972566 | Latoya Mone Harris-freeman | Counselor | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2012-05-02 |
| 1225334568 | Martin Tyrrell Washington District Health Dept | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2011-02-03 |
| 1700187754 | Angie Kay Jarrell | Licensed Practical Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-08 |
| 1992005250 | Tempie Phelps Lancaster | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1508166885 | Katherine Winesett Davis | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1497055743 | Kimberly Elliott Hough | Registered Nurse | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-11-02 |
| 1134431117 | Renea Swain Price | Nurse Practitioner | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-07-08 |
| 1518298223 | Sarah Mayfield Overholt | Dietitian, Registered | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2010-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918781 | Asp Dental, PC | Clinic/Center | 9800 Shelard Pkwy Ste 130, Plymouth, MN 55441-6451 | 2020-09-25 |
| 1326670886 | Plymouth Ardent | Clinic/Center | 40400 Ann Arbor Rd E Ste 103, Plymouth, MI 48170-4590 | 2020-02-12 |
| 1427695063 | Beacon Dental Health PC | Clinic/Center | 1 Scobee Cir # 2a, Plymouth, MA 02360-4887 | 2019-12-03 |
| 1952965949 | Minnesota Sleep and Wellness LLC | Clinic/Center | 15600 36th Ave N Ste 270a, Plymouth, MN 55446-3369 | 2019-04-25 |
| 1134611122 | Chad W. Barber, Dds, PC | Clinic/Center | 9331 N Lilley Rd, Plymouth, MI 48170-4609 | 2018-06-05 |
| 1194215616 | Four Seasons Dental Pa | Clinic/Center | 4205 Lancaster Ln N Ste 101, Plymouth, MN 55441-1702 | 2018-05-10 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1053834481 | Mondale Dental | Clinic/Center | 10600 Old County Road 15 Ste 120, Plymouth, MN 55441-6205 | 2017-07-18 |
| 1902060213 | Thomas F. Rogers, D.d.s., P.C. | Clinic/Center | 141 Court St, Plymouth, MA 02360-3807 | 2008-07-16 |
| 1093939712 | Frank Gatyas,d.d.s.,s.c. | Clinic/Center | 623 E Mill St, Plymouth, WI 53073-1944 | 2007-04-12 |
| Find all providers in PLYMOUTH | ||||
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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.