MRS. KEEGAN J ZIEMBA (NPI# 1568751824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568751824 |
| Entity Type | Individual |
| Full Name | MRS. KEEGAN J ZIEMBA |
| Credential | M.D. |
| Practice Address |
2100 Stantonsburg Rd Greenville NC 27834-2818 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527445871 |
| Practice Fax Number | 2527445759 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
2017-00398 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE | NCX417A | 01 |
| NC | BCBS OF NC | 19QPK | 01 |
| NC | 1568751824 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Childrens Dr, Pediatric Critical Care, Columbus, OH 432052664 | 6147223438 |
| Street Address |
2100 STANTONSBURG RD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802077 | Leanna F. Thorn | Emergency Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2005-06-23 |
| 1891394557 | Schuyler Geaslen Williams | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-10-22 |
| 1477169084 | Denise Harper | Clinical Nurse Specialist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-18 |
| 1548874068 | Ileen Craven | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-02 |
| 1790397990 | Randi Elizabeth Caruso | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-19 |
| 1184236333 | Emily Merritt | Pharmacist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-19 |
| 1467063107 | Smit Rajput | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-15 |
| 1558971044 | Kyle Travlos | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1114537693 | Ryan Austin Wagner | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| 1790395283 | Clayton Adams | Registered Nurse | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093157828 | Kathryn Anne Best | Pediatrics | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2013-07-22 |
| 1396971776 | Kerry Catherine Shum | Pediatrics | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2009-05-30 |
| 1649473299 | Matthew R Ledoux | Pediatrics | 600 Moye Blvd, Ecu Physicians Pediatrics Critical Care, Greenville, NC 27834-4300 | 2007-06-08 |
| 1427125970 | Jeffrey E Schmidt | Pediatrics | 600 Moye Blvd, Ecu Physicians Pediatrics, Greenville, NC 27834-4300 | 2006-11-29 |
| 1487607560 | Robert Sanders Seigler Sr. | Pediatrics | 701 Grove Rd, 6th Floor, Support Tower, Greenville, SC 29605-5611 | 2006-05-18 |
| 1821047895 | Eric Lee Berning | Pediatrics | 701 Grove Rd, 6th Floor, Support Tower, Greenville, SC 29605-4210 | 2006-05-08 |
| 1659329373 | Darryl Royce Gwyn | Pediatrics | 701 Grove Rd, 6th Floor, Support Tower, Greenville, SC 29605-5611 | 2006-05-05 |
| 1952359317 | Michael Grant Avant | Pediatrics | 701 Grove Rd, 6th Floor, Support Tower, Greenville, SC 29605-5611 | 2006-05-05 |
| 1619937760 | Nina Jamie Verdino | Pediatrics | 600 Moye Blvd, Ecu Physicians Pediatric Critical Care Medicine, Greenville, NC 27834-4300 | 2006-03-24 |
| 1255326526 | Ronald M Perkin | Pediatrics | 600 Moye Blvd, Ecu Physicians Pediatrics Critical Care, Greenville, NC 27834-4300 | 2005-09-13 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.