EULALIA CIDELA BARAJAS-GRAHAM (NPI# 1679081319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679081319 |
Entity Type | Individual |
Full Name | EULALIA CIDELA BARAJAS-GRAHAM |
Credential | PA |
Practice Address |
101 N Walnut St Fairmont NC 28340-1951 |
Mailing Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
Practice Telephone | 9106280655 |
Practice Fax Number | 9106280158 |
Mailing Telephone | 9102723048 |
Mailing Fax Number | 9107393764 |
Enumeration Date | 2018-01-16 |
Last Update Date | 2020-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
207QA0505X | NC | Allopathic & Osteopathic Physicians |
Street Address |
101 N WALNUT ST |
City | FAIRMONT |
State | NC |
Zip Code | 28340-1951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780688119 | Eugenia Brooks Howie | Family Medicine | 101 N Walnut St, Fairmont, NC 28340-1951 | 2005-06-13 |
1831646298 | Deidre Chavis Powell | Nurse Practitioner | 101 N Walnut St, Fairmont, NC 28340-1951 | 2016-09-02 |
1659508653 | Southeastern Regional Physician Services | Clinic/Center | 101 N Walnut St, Fairmont, NC 28340-1951 | 2009-06-17 |
1811965692 | Aundrea Rae Emanuel | Nurse Practitioner | 101 N Walnut St, Fairmont, NC 28340-1951 | 2006-03-09 |
1790784619 | Diana M. Mckeithan | Nurse Practitioner | 101 N Walnut St, Fairmont, NC 28340-1951 | 2005-07-21 |
1194720466 | Southeastern Regional Medical Center | Clinic/Center | 101 N Walnut St, Fairmont, NC 28340-1951 | 2005-06-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
Find all providers in zip 28340 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346420148 | Family Care Associates, Pllc | Family Medicine | 1031 Morgantown Ave, Fairmont, WV 26554-4355 | 2007-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538771795 | Michelle Muhammad | Family Medicine | 1589 Skeet Club Rd Ste 102-218, High Point, NC 27265-8817 | 2020-08-19 |
1578171724 | Immuno Professionals Pllc | Family Medicine | 9300 Harris Corners Pkwy Ste 160, Charlotte, NC 28269-3791 | 2020-07-14 |
1225549991 | Tawfiq Ansari | Family Medicine | 5 Scarlet Oak Ct, Durham, NC 27712-8971 | 2017-10-20 |
1215457924 | J Arthur Dosher Memorial Hospital | Family Medicine | 906 N Howe Street, Southport, NC 28461-2846 | 2017-06-23 |
1215342779 | Alexandria Kadolph | Family Medicine | Moses Cone Hospital, 1121 N Church St, Greensboro, NC 27405 | 2014-06-24 |
1669715868 | David A Crowe | Family Medicine | West Wilkes Family Medicine, 171 West Wilkes Medical Center Blvd., Ferguson, NC 28624-8925 | 2013-04-05 |
1417261736 | Talton Physician Services Pllc | Family Medicine | 201 Crest Dr, Mount Olive, NC 28365-2619 | 2010-07-28 |
1366686271 | Arturo De Jesus De Leon | Family Medicine | 2903 Adrian Ct, Raleigh, NC 27604-5811 | 2009-04-22 |
1922132620 | Larry S Kilby Md Pa | Family Medicine | 1208 E St, N Wilkesboro, NC 28659-4018 | 2007-03-15 |
1720120470 | Carole Maxwell Stuart | Family Medicine | Lower Level Reynolds Gym-wingate Rd., Wingate Rd., Winston-salem, NC 27109 | 2007-02-12 |
Find all providers with the same taxonomy |
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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.