VAN LEE ADAMS (NPI# 1588872964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588872964 |
| Entity Type | Individual |
| Full Name | VAN LEE ADAMS |
| Credential | M.D. |
| Practice Address |
204 Malloy Street Suite A Goldsboro NC 27534 |
| Mailing Address |
204 Malloy St Ste A Goldsboro NC 27534-4477 |
| Practice Telephone | 9197517665 |
| Mailing Telephone | 9197517665 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2010-02058 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO MEDICAID MOLINA | 2969588 | 01 |
| OH | OHIO MEDICAID CARESOURCE | 310917085215 | 01 |
| OH | 2969588 | 05 | |
| WV | 3810015431 | 05 | |
| RAILROAD MEDICARE | P00767040 | 01 | |
| OH | OHIO MEDICAID UNISON | 000000287236 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033163134 | Van D Adams | Anesthesiology | 325 S Belmont St, York, PA 17403-2608 | 2006-05-22 |
| Street Address |
204 MALLOY STREET SUITE A |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942664289 | Amanda Peoples Foster | Nurse Practitioner | 204 Malloy Street, Suite A, Goldsboro, NC 27534 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285954958 | Mohammed Ataullah Farooqui | Internal Medicine | 2615 Hospital Rd, Suite 300, Goldsboro, NC 27534-9424 | 2010-06-04 |
| 1770607228 | Randy L Swackhammer | Internal Medicine | 2400 Wayne Memorial Dr Ste C, Goldsboro, NC 27534-1750 | 2007-03-19 |
| 1366575128 | Loretta Vanhaasteren | Internal Medicine | 532 W New Hope Rd, Apt C6, Goldsboro, NC 27534-7567 | 2007-03-13 |
| 1558490664 | Mercy Medical Clinic, P. A. | Internal Medicine | 2501 Wayne Memorial Dr Ste A, Goldsboro, NC 27534-9436 | 2007-03-05 |
| 1700976701 | Prime Care Physicians Pa | Internal Medicine | 2607 Medical Office Pl Ste B, Goldsboro, NC 27534-9437 | 2006-10-13 |
| 1043329543 | Anagha S Paranjape | Internal Medicine | 2610 Hospital Rd, Goldsboro, NC 27534-9423 | 2006-08-29 |
| 1134135551 | Celestine I Amaefule | Internal Medicine | 1104 Gracie Pl, Goldsboro, NC 27534-2260 | 2006-07-31 |
| 1164467775 | Najibullah Muradi | Internal Medicine | 104 Adair Dr Unit A, Goldsboro, NC 27530-4516 | 2006-06-18 |
| 1154365591 | Jeffrey A Margolis | Internal Medicine | 2701 Medical Office Pl, Goldsboro, NC 27534-9458 | 2006-06-16 |
| 1932169034 | Thaddeus C West Jr. | Internal Medicine | 2400 Wayne Memorial Drive, Suite I, Goldsboro, NC 27534 | 2006-03-24 |
| Find all providers in GOLDSBORO | ||||
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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.