DR. JULIUS Q MALLETTE (NPI# 1700879699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700879699 |
Entity Type | Individual |
Full Name | DR. JULIUS Q MALLETTE |
Credential | MD |
Practice Address |
120 W Martin Luther King Jr Dr Washington NC 27889 |
Mailing Address |
120 W Martin Luther King Jr Dr Washington NC 27889-4906 |
Practice Telephone | 2529400602 |
Practice Fax Number | 2529400924 |
Mailing Telephone | 2529400602 |
Mailing Fax Number | 2529400924 |
Enumeration Date | 2005-08-25 |
Last Update Date | 2018-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
28261 | NC | Allopathic & Osteopathic Physicians |
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
28261 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MEDICARE | 2170961 | 01 |
NC | RAILROAD MEDICARE | 160034966 | 01 |
NC | 8953777 | 05 | |
NC | BCBS NC | 53777 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
324 N Queen Street, Kinston, NC 285014932 | 2525229800 | 2525239790 |
Street Address |
120 W MARTIN LUTHER KING JR DR |
City | WASHINGTON |
State | NC |
Zip Code | 27889 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952943425 | Lindsay Rachel Stump Davis | Counselor | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2019-10-16 |
1720545312 | Carol B Taylor | Counselor | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2019-03-01 |
1770078719 | Erica Balbuena Tapia | Dentist | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2018-06-22 |
1700305547 | Alice I Manuel | Registered Nurse | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2017-09-13 |
1942759329 | Elizabeth Jane Ross Manning | Nurse Practitioner | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2016-09-27 |
1164811659 | Leonna Love | Counselor | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2015-01-21 |
1528314903 | Metropolitan Homecare and Behavioral Services | Exclusive Provider Organization | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2012-08-03 |
1366488280 | Metropolitan Community Health Services, Inc | Clinic/Center | 120 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336786326 | Coastal Solutions LLC | Counselor | 51 Hwy 33 W, Chocowinity, NC 27889 | 2019-12-09 |
1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
1790175917 | Inner Coastal Orthotics and Prosthetics | Orthotist | 1102 North Brown St., Washington, NC 27889 | 2015-01-26 |
1972847390 | Country Living Guest Home #7 | Community/Behavioral Health | 207 W 11th St, Washington, NC 27889 | 2012-11-26 |
1104182005 | Country Living Guest Home #8 | Community/Behavioral Health | 618 Plant St, Washington, NC 27889 | 2012-04-04 |
1881986537 | Mary Lewis Scarbraugh | Social Worker | 408 E. 11th St., Washington, NC 27889 | 2011-05-12 |
1952615825 | Country Living Guest Home #6 | Community/Behavioral Health | 252 Dan Taylor Rd, Washington, NC 27889 | 2010-08-03 |
1376784371 | Jennifer Michele Richardson | Nurse Practitioner | 1207 Highland Drive, Washington, NC 27889 | 2009-03-20 |
Find all providers in zip 27889 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962520288 | Mary's Center for Maternal and Child Care, Inc | Obstetrics & Gynecology | 2333 Ontario Rd. Nw, Washington, DC 20009-2627 | 2007-03-26 |
1063506343 | Jeevan Mathura | Obstetrics & Gynecology | 1344 Maryland Ave Ne, Washington, DC 20002-4402 | 2006-10-03 |
1841401676 | Spring Valley Obgyn PC | Obstetrics & Gynecology | 4910 Massachusetts Ave Nw, Suite 307, Washington, DC 20016-4300 | 2007-05-24 |
1174639660 | Kathleen Bis | Obstetrics & Gynecology | 2440 M St Nw, Suite 318, Washington, DC 20037-1404 | 2006-08-21 |
1881674877 | John George | Obstetrics & Gynecology | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2006-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1245599273 | Jessica Son | Obstetrics & Gynecology | 204 Oakwood Ct, Winston Salem, NC 27103-1955 | 2012-05-11 |
1124192737 | Peter F Mcilveen | Obstetrics & Gynecology | 942 Johnson Ridge Rd, Elkin, NC 28621-2212 | 2006-11-17 |
1487606943 | Kenneth Wade Jackson Jr. | Obstetrics & Gynecology | 22 Manningfield Dr, Fletcher, NC 28732-9457 | 2006-05-16 |
1689663999 | Charles Augustus Harper Jr. | Obstetrics & Gynecology | 706 Green Valley Road, Suite 506, Greensboro, NC 27408-7023 | 2005-10-19 |
1669474268 | Laurie May Marston | Obstetrics & Gynecology | 2304 Wesvill Ct, Ste 210, Raleigh, NC 27607-2973 | 2005-08-12 |
1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
1942766886 | Watina D Gibbs | Obstetrics & Gynecology | 501 E Green Dr, High Point, NC 27260-6707 | 2019-02-15 |
1346760675 | Trisha Ann Dmytruk | Obstetrics & Gynecology | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-06-27 |
1679012660 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 6324 Fairview Rd Ste 430, Charlotte, NC 28210-4278 | 2017-02-23 |
Find all providers with the same taxonomy |
City | WASHINGTON |
Zip Code | 27889 |
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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.