CALDWELL MEMORIAL HOSPITAL, INC. (NPI# 1578949079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578949079 |
| Entity Type | Organization |
| Organization Name | CALDWELL MEMORIAL HOSPITAL, INC. |
| Other Organization Name | BLOWING ROCK MEDICAL PARK |
| Practice Address |
8439 Valley Blvd Blowing Rock NC 28605-9052 |
| Mailing Address |
321 Mulberry St Sw Medical Staff Services Lenoir NC 28645-5720 |
| Practice Telephone | 8282953116 |
| Practice Fax Number | 8282954388 |
| Mailing Telephone | 8287575965 |
| Mailing Fax Number | 8287575104 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | REBECCA T SMITH (VP/COO/CNO) |
| Authorized Official Telephone | 8287575100 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALDWELL MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blowing Rock Medical Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619220035 | Caldwell Memorial Hospital, Inc. | Family Medicine | 201 Industrial Ct, Lenoir, NC 28645-8174 | 2012-10-23 |
| 1396911574 | Caldwell Memorial Hospital, Inc. | Clinic/Center | 3286 Oak St, Wisner, LA 71378 | 2008-05-07 |
| 1144402157 | Caldwell Memorial Hospital, Inc. | Family Medicine | 1766 Connelly Springs Road, Lenoir, NC 28645-7827 | 2007-11-30 |
| 1538783915 | Caldwell Memorial Hospital, Inc. | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2020-06-02 |
| 1245734995 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 212 Mulberry St Sw, Lenoir, NC 28645-5414 | 2018-03-19 |
| 1245757764 | Caldwell Memorial Hospital, Inc. | Podiatrist | 401 Mulberry St Sw Ste 102, Lenoir, NC 28645-5463 | 2017-08-25 |
| 1417483728 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 160 River Bend Drive, Suite A, Lenoir, NC 28630 | 2017-05-05 |
| 1184174542 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 270 Pine Mountain Rd, Suite 5, Hudson, NC 28638-2605 | 2016-10-10 |
| 1922426220 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 212 Mulberry St Sw, Lenoir, NC 28645-5414 | 2014-04-03 |
| 1376983171 | Caldwell Memorial Hospital, Inc. | Surgery | 401 Mulberry St Sw, Suite 202, Lenoir, NC 28645-5463 | 2013-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALDWELL MEMORIAL HOSPITAL, INCORPORATED | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Street Address |
8439 VALLEY BLVD |
| City | BLOWING ROCK |
| State | NC |
| Zip Code | 28605-9052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932160652 | John D Davis Jr. | Family Medicine | 8439 Valley Blvd, Blowing Rock, NC 28605-8957 | 2006-03-31 |
| 1871059998 | Natalie Elizabeth Bovino | Nurse Practitioner | 8439 Valley Blvd, Blowing Rock, NC 28605-8957 | 2019-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043508880 | Jennifer Higgins Eller | Speech-Language Pathologist | 4665 Blowing Rock Blvd., Blowing Rock, NC 28605 | 2011-07-14 |
| 1760630016 | 180 Behavioral Health, Pllc | Clinic/Center | 496 Morningside Dr., Blowing Rock, NC 28605 | 2008-08-28 |
| 1821265745 | Joseph Mckendrie Jenkins | Urology | 223 Wonderland Trail, Blowing Rock, NC 28605 | 2008-05-09 |
| 1548334964 | Richard Walter Kitchell | Dentist | 366chestnut Dr, Blowing Rock, NC 28605 | 2006-11-17 |
| 1386725737 | Adam E. Hill, Dds | Dentist | 434-2 Sunset Drive, Blowing Rock, NC 28605 | 2006-10-18 |
| 1871507673 | Blowing Rock Hospital, Swing | Medicare Defined Swing Bed Unit | 418 Chestnut Drive, Blowing Rock, NC 28605 | 2006-07-28 |
| 1851413561 | Blowing Rock Hospital | Pharmacy | 418 Chestnut Drive, Blowing Rock, NC 28605 | 2007-04-04 |
| 1629428370 | Appalachian Regional Medical Associates Inc | Internal Medicine | 623 Chestnut Ridge Parkway, Blowing Rock, NC 28605-0000 | 2016-06-14 |
| 1922046820 | Blowing Rock Medical Clinic Pr | Family Medicine | 366 Chestnut Drive, Blowing Rock, NC 28605-0008 | 2006-06-03 |
| 1871788794 | Jennifer Arquette | Speech-Language Pathologist | 4665 Blowing Rock Blvd Lenoir Nc 28645, 146, Blowing Rock, NC 28605-0146 | 2007-09-13 |
| Find all providers in zip 28605 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922046820 | Blowing Rock Medical Clinic Pr | Family Medicine | 366 Chestnut Drive, Blowing Rock, NC 28605-0008 | 2006-06-03 |
| 1093703647 | Blowing Rock Hospital, Inc. | Family Medicine | 621 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-8962 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765058 | Frances Elizabeth Sutton | Family Medicine | 180 Southwood Dr, Clinton, NC 28328-5002 | 2018-06-27 |
| 1023313855 | Triangle Geriatrics & Palliative Medicine, Pllc | Family Medicine | 1010 Rosehill Ave, Durham, NC 27705-4019 | 2011-01-26 |
| 1316259013 | Graceful Aging,pc | Family Medicine | 2732 Bardolino Dr, Fayetteville, NC 28306-4636 | 2010-07-09 |
| 1306092549 | Coastal Mobile Medical Doctor, Pa | Family Medicine | 203 Stagecoach Dr, Jacksonville, NC 28546-9617 | 2008-08-07 |
| 1457541484 | North River Primecare PC | Family Medicine | 301 Jones Ave, Beaufort, NC 28516-1514 | 2007-07-26 |
| 1790812840 | Geridoc LLC | Family Medicine | 4431 Montibello Dr, Charlotte, NC 28226-7420 | 2007-02-27 |
| 1174658371 | Brunswick Gericare PC | Family Medicine | 602 Thomasboro Road, Calabash, NC 28467-9820 | 2007-02-21 |
| 1952446080 | Jeffrey Dean Martin | Family Medicine | North Carolina Disability Determination Services, 3301 Terminal Dr, Raleigh, NC 27602-0243 | 2007-02-20 |
| 1912048273 | Shine Thomas | Family Medicine | 1601 Brennar Ave, Salisbury, NC 28144-2515 | 2007-02-09 |
| 1982766283 | Balaji Pabbu | Family Medicine | 101 Heart Drive, Mail Stop 654, Greenville, NC 27834 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | BLOWING ROCK |
| Zip Code | 28605 |
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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.