PANIDA PIBOOLNURAK (NPI# 1609087881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609087881 |
| Entity Type | Individual |
| Full Name | PANIDA PIBOOLNURAK |
| Credential | MD |
| Practice Address |
1509 Doctors Cir Bldg C Wilmington NC 28401-7403 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 9106627500 |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2016-01975 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1333 S Dickinson Dr, Unit 230, Leland, NC 284516430 | 9106627500 | |
| 2131 S 17th St, Wilmington, NC 284017407 | 9108155830 | |
| 1960 S 16th St, Wilmington, NC 284016676 | 9106627500 | |
| 1515 Doctors Cir, Wilmington, NC 284017403 | 9106627500 |
| Street Address |
1509 DOCTORS CIR BLDG C |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881695 | Guy Fiocco | Internal Medicine | 1509 Doctors Cir, Building C, Wilmington, NC 28401-7403 | 2005-06-16 |
| 1487280640 | Katherine Russell-ladd | Nurse Practitioner | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2020-03-19 |
| 1871123430 | Michelle Stough | Nurse Practitioner | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2020-01-23 |
| 1578035218 | Ashley Fioranelli | Nurse Practitioner | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2018-12-19 |
| 1366921173 | Lila Byrd | Nurse Practitioner | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2018-08-13 |
| 1417458670 | Stephen Walker | Nurse Practitioner | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2018-02-23 |
| 1972954196 | Danielle Fryar | Nurse Practitioner | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2016-06-29 |
| 1033597224 | Carolina Healthcare Associates Inc | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-08 |
| 1417334145 | Carolina Healthcare Associates Inc | Internal Medicine | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-01 |
| 1053701144 | Esther Murray | Physician Assistant | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-01-28 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669675484 | Brandywine Center for Wellness | Psychiatry & Neurology | 515 W 18th St, Wilmington, DE 19802-4705 | 2007-06-08 |
| 1114028123 | George John Scontsas | Psychiatry & Neurology | 1201 Medical Center Drive, Wilmington, NC 28401-7306 | 2006-09-25 |
| 1922119429 | Spencer G Weig | Psychiatry & Neurology | 5121 Woods Edge Rd, Wilmington, NC 28409-3975 | 2006-08-31 |
| 1043224504 | Chih-cheng Frank Chen | Psychiatry & Neurology | 1608 Wellington Avenue, Wilmington Neurology Clinic, Wilmington, NC 28401-7757 | 2006-07-28 |
| 1962432716 | Marc S D'angelo | Psychiatry & Neurology | 6632 River Rd, Wilmington, NC 28412-3012 | 2006-07-04 |
| 1114423118 | Neurostar Inc. | Psychiatry & Neurology | 6 Sharpley Rd, Wilmington, DE 19803-2941 | 2018-03-30 |
| 1619397726 | Gurcharanjeet Kaur | Psychiatry & Neurology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2014-04-16 |
| 1649537598 | Alan J. Fink, M.d., Neurologist, P.a. | Psychiatry & Neurology | 1306 N Broom St, Wilmington, DE 19806-4209 | 2012-04-17 |
| 1649591066 | Alyson Hommel | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2010-06-21 |
| 1063733517 | Karrie Grear | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2010-06-18 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.