DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC (NPI# 1649637703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649637703 |
| Entity Type | Organization |
| Organization Name | DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC |
| Practice Address |
1135 Carthage St Sanford NC 27330-4162 |
| Practice Telephone | 9197742100 |
| Mailing Telephone | 9197742100 |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |
| Authorized Official Name | JESS JUDY (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396101689 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 237 Longvue Dr Ste A, Boone, NC 28607-5070 | 2016-01-03 |
| 1407376783 | Dlp Central Carolina Physician Practices LLC | Pediatrics | 415 N Center St, Hickory, NC 28601-5057 | 2017-06-27 |
| 1457802928 | Dlp Central Carolina Physician Practices LLC | Family Medicine | 2609 S Horner Blvd, Sanford, NC 27332-8032 | 2016-10-20 |
| 1538517917 | Dlp Central Carolina Physician Practices LLC | Family Medicine | 915 Tate Blvd Se, Suite 186, Hickory, NC 28602-4042 | 2016-05-26 |
| 1790133171 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2016-05-26 |
| 1124485768 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 210 13th Avenue Pl Nw, Ste 101, Hickory, NC 28601-2568 | 2016-01-27 |
| 1417314055 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 415 N Center St, Ste 203, Hickory, NC 28601-5057 | 2016-01-27 |
| 1043677685 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 915 Tate Blvd Se, Ste 182, Hickory, NC 28602-4042 | 2016-01-27 |
| 1053778696 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 245 Winklers Creek Rd, Boone, NC 28607-7838 | 2016-01-27 |
| 1780041327 | Dlp Central Carolina Physician Practices LLC | Counselor | 915 Tate Blvd Se, Ste 186, Hickory, NC 28602-4042 | 2016-01-27 |
| Street Address |
1135 CARTHAGE ST |
| City | SANFORD |
| State | NC |
| Zip Code | 27330-4162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915776 | Dennis P Legolvan | Pathology | 1135 Carthage St, Sanford, NC 27330-4162 | 2005-07-07 |
| 1730707183 | Chase Pennel | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2020-07-13 |
| 1396384343 | Vera Kotlyar | Dietitian, Registered | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-21 |
| 1831737402 | Emily Grace Gamble | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-12-14 |
| 1508412511 | Jessica Rakes Heyse | Nurse Practitioner | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-08-15 |
| 1700438546 | Gary Taylor | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-07-11 |
| 1497310148 | Jonathan Goldston | Emergency Medicine | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-05-08 |
| 1336607464 | Katherine Vanderford | Registered Nurse | 1135 Carthage St, Sanford, NC 27330 | 2019-03-07 |
| 1972069243 | Mark Benning | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2019-02-12 |
| 1164900544 | Pazoo Xiong | Physician Assistant | 1135 Carthage St, Sanford, NC 27330-4162 | 2018-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
| 1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
| 1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
| 1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
| 1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
| 1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
| 1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
| 1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
| Find all providers in zip 27330 | ||||
| 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 |
|---|---|---|---|---|
| 1720422363 | Francisco Chang Yang | Pediatrics | 1403 Medical Plaza Dr Ste 104, Sanford, FL 32771-1047 | 2013-04-25 |
| 1669772935 | Yobanka E Paez-munoz | Pediatrics | 1149 Rinehart Rd Ste 110, Sanford, FL 32771-7390 | 2010-11-02 |
| 1003865445 | Janice E Aton | Pediatrics | 1688 S Horner Blvd, Sanford, NC 27330-5634 | 2006-05-10 |
| 1912901497 | Hector Octaviani | Pediatrics | 4930 E Lake Mary Blvd, Sanford, FL 32771-5003 | 2005-06-13 |
| 1225690290 | Wee Care Pediatrics of Sanford Pllc | Pediatrics | 207 Gordon St, Sanford, NC 27330-3975 | 2019-07-01 |
| 1982138707 | Michael David Smith | Pediatrics | 1135 Carthage St, Sanford, NC 27330-4162 | 2017-04-18 |
| 1619339264 | Pediatricians of Florida | Pediatrics | 820 W Lake Mary Blvd, Ste 102, Sanford, FL 32773-5946 | 2016-03-23 |
| 1215270764 | Orlando Mota-aquino | Pediatrics | 1403 Medical Plaza Dr, Suite 104, Sanford, FL 32771-1000 | 2013-04-03 |
| 1255688958 | Kidzcare Pediatrics, PC | Pediatrics | 145 W Main St, Sanford, NC 27332-5919 | 2012-08-13 |
| 1366760001 | Tiffany Jones Petty | Pediatrics | 1801 Doctors Dr, Sanford, NC 27330-5067 | 2010-05-05 |
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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.