DR. JEFFREY SCOTT CHURCH (NPI# 1568463131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568463131 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY SCOTT CHURCH |
| Credential | M.D. |
| Practice Address |
1122 Medical Center Dr Wilmington NC 28401-7305 |
| Practice Telephone | 9103385900 |
| Practice Fax Number | 9103385899 |
| Mailing Telephone | 9103385900 |
| Mailing Fax Number | 9103385899 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
9600487 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982730222 | Jeffrey G Church | Pharmacist | 5611 Shirley Park Dr, Bessemer, AL 35022-3402 | 2007-02-23 |
| Street Address |
1122 MEDICAL CENTER DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709021 | La Belle Vie Plastic Surgery PC | Plastic Surgery | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2018-11-21 |
| 1750553517 | Ronald D. Gaitros, Dds, Ms, Pa | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2008-04-01 |
| 1558533315 | Michael C. Kinnebrew, Md, Dds, Pa | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2008-04-01 |
| 1811033137 | Carolinas Oral & Facial Surgery Center, Inc. | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2007-01-30 |
| 1942298443 | Ronald Dale Gaitros | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2005-10-10 |
| 1346238862 | Michael Clark Kinnebrew | Dentist | 1122 Medical Center Dr, Wilmington, NC 28401-7305 | 2005-10-10 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043356868 | Tor Martin Ljung | Surgery | 6752 Parker Farm Dr # 200, Wilmington, NC 28405-3175 | 2007-01-29 |
| 1689676611 | Charles Richard Kays | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-10 |
| 1609877836 | Kenneth Samuel White | Surgery | 1404 Commonwealth Dr, Wilmington, NC 28403-1473 | 2005-08-10 |
| 1487650867 | Benjamin Cooper | Surgery | 1941 Limestone Rd Ste 101, Wilmington, DE 19808-5413 | 2005-06-22 |
| 1922591320 | Gillespie Plastic & Reconstructive Surgery | Surgery | 4001 Kennett Pike Ste 234, Wilmington, DE 19807 | 2018-06-11 |
| 1235195389 | Wilmington Plastic Surgery Specialists, P.a. | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2006-04-25 |
| 1275535072 | Mark Wayne Morgan | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-11 |
| 1598767535 | Dennis Bart Nicks | Surgery | 2305 Canterwood Dr, Wilmington, NC 28401-7300 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813753 | Kds Aesthetics, Pllc | Surgery | 2806b Wooten Blvd., Wilson, NC 27893-8624 | 2019-04-22 |
| 1124681689 | Cami Surgery Center, Pllc | Surgery | 8712 Lindholm Dr Ste 308, Huntersville, NC 28078-1872 | 2019-04-19 |
| 1154777936 | Shuting Zhong | Surgery | 130 Manson Farm Rd # 2100, Chapel Hill, NC 27599-0001 | 2016-05-10 |
| 1205216173 | Henry Neale Sr. | Surgery | 117 Shenandoah Terrace, Montreat, NC 28757 | 2015-06-04 |
| 1689940603 | Asheville Aesthetic Plastic Surgery | Surgery | 108 Yorkshire Street, Suite D, Asheville, NC 28803-2759 | 2012-03-23 |
| 1245428358 | Jeyhan S Wood | Surgery | 7033 Burnett Womack Bldg Cb 7195, Chapel Hill, NC 27599-0001 | 2007-10-15 |
| 1255528477 | Rutherford Hospital, Inc. | Surgery | 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 | 2007-10-02 |
| 1215144670 | David Hardman Harley | Surgery | 13620 Reese Blvd E, Suite 110, Bldg Xii, Huntersville, NC 28078-6417 | 2007-05-16 |
| 1669538971 | Southland Plastic Surgery | Surgery | 501 North Aspen St, Lincolnton, NC 28092-2105 | 2006-12-29 |
| 1396829271 | Michael Zenn | Surgery | 7920 Acc Blvd Ste 110, Raleigh, NC 27617-8744 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on DR. JEFFREY SCOTT CHURCH.
| 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.