SUZANNE ELIZABETH DVERGSTEN (NPI# 1629047089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629047089 |
| Entity Type | Individual |
| Full Name | SUZANNE ELIZABETH DVERGSTEN |
| Credential | MD |
| Practice Address |
1000 Corporate Dr Hillsborough NC 27278-8535 |
| Practice Telephone | 9192453344 |
| Mailing Telephone | 9192453344 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2011-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2101-01891 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 36271 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 50456700 | 05 |
| Street Address |
1000 CORPORATE DR |
| City | HILLSBOROUGH |
| State | NC |
| Zip Code | 27278-8535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423456 | Jeanne Amerine | Nurse Practitioner | 1000 Corporate Dr, Suite 301, Hillsborough, NC 27278-8535 | 2015-12-18 |
| 1609101864 | J-1 Consultants | Community/Behavioral Health | 1000 Corporate Dr, Ste. 309, Hillsborough, NC 27278-8535 | 2009-10-06 |
| 1821224197 | Hillsborough Pediatric and Adolescent Medicine Pllc | Clinic/Center | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2009-06-01 |
| 1962648519 | Jennifer Lashone Green | Counselor | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2009-01-05 |
| 1881860237 | Amanda Renee Mcnabb | Pediatrics | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2008-05-06 |
| 1497924567 | Maya J Gist | Counselor | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2008-02-22 |
| 1518147214 | Christi Janene Beals | Counselor | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2007-11-09 |
| 1932399623 | Marcia Angiulli Morgenlander | Pediatrics | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2007-07-28 |
| 1326167909 | Rachael Elizabeth Jebaily | Counselor | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2007-03-28 |
| 1427176296 | Crystal Javan Small | Counselor | 1000 Corporate Dr, 401, Hillsborough, NC 27278-8535 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504600 | Drs. Latta & Lau, Dds, Pllc | Dentist | 119 Mayo St, Suite 110, Hillsborough, NC 27278 | 2020-06-26 |
| 1073080149 | Loy Anne Campbell | Occupational Therapist | 115 Oakdale Drive, Suite 8, Hillsborough, NC 27278 | 2018-10-26 |
| 1144726894 | Johanna Janssen | Physical Therapist | 1101 Bartlett Circle, Hillsborough, NC 27278 | 2018-04-02 |
| 1609305309 | Caroline Latta | Dentist | 614 Arthur Minnis Rd, Hillsborough, NC 27278 | 2017-06-06 |
| 1477089811 | Rachel Bethany Berlin | Nurse Practitioner | 276 S Churton Street, 200, Hillsborough, NC 27278 | 2017-05-04 |
| 1083155956 | Jordan Busse | Physical Therapist | 2410 Summit Dr, Hillsborough, NC 27278 | 2017-03-13 |
| 1407394174 | Dylan Thomas Twiddy | Specialist/Technologist | 3032 Prophet Dr., Hillsborough, NC 27278 | 2017-02-02 |
| 1407307572 | Nancy S Hudspeth | Counselor | 204 Saponi Drive, Hillsborough, NC 27278 | 2016-10-24 |
| 1164877536 | Andrea Marie Christian | Physical Therapist | 267 S. Churton Street, Hillsborough, NC 27278 | 2016-05-04 |
| 1578962536 | Family Advancing More Effectively, Inc. | Community/Behavioral Health | 236 Orange Grove Street, Ste. 13, Hillsborough, NC 27278 | 2014-08-15 |
| Find all providers in zip 27278 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298907 | Advocare, LLC | Pediatrics | 390 Amwell Rd Ste 106, Hillsborough, NJ 08844-1226 | 2019-10-29 |
| 1841448974 | Li Jiang | Pediatrics | 613 Courtyard Dr, Hillsborough, NJ 08844-4256 | 2008-09-03 |
| 1063633402 | Priyanka Singh Yadav | Pediatrics | 331 Us Highway 206, Hillsborough, NJ 08844-4781 | 2007-05-02 |
| 1255370730 | Michael Fragoso | Pediatrics | 1c New Amwell Rd, Hillsborough, NJ 08844-5006 | 2006-06-06 |
| 1275158669 | Hills Pediatrics | Pediatrics | 613 Courtyard Dr, Hillsborough, NJ 08844-4256 | 2020-06-10 |
| 1407185838 | Leena Benoy | Pediatrics | 603a Omni Dr, Hillsborough, NJ 08844-4538 | 2009-12-14 |
| 1881860237 | Amanda Renee Mcnabb | Pediatrics | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2008-05-06 |
| 1932399623 | Marcia Angiulli Morgenlander | Pediatrics | 1000 Corporate Dr, Suite 401, Hillsborough, NC 27278-8535 | 2007-07-28 |
| 1770502882 | Vaidehi Jonna | Pediatrics | 856 Route 206, Hillsborough, NJ 08844-1514 | 2006-07-19 |
| 1770527749 | Neil Youngerman | Pediatrics | 1c New Amwell Rd, Hillsborough, NJ 08844-5006 | 2006-06-16 |
| Find all providers in HILLSBOROUGH | ||||
| City | HILLSBOROUGH |
| Zip Code | 27278 |
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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.