HALIFAX MEDICAL SPECIALISTS PA (NPI# 1740351279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740351279 |
| Entity Type | Organization |
| Organization Name | HALIFAX MEDICAL SPECIALISTS PA |
| Practice Address |
270 Smith Church Road Roanoke Rapids NC 27870-4914 |
| Practice Telephone | 2525370134 |
| Practice Fax Number | 2525376515 |
| Mailing Telephone | 2525370134 |
| Mailing Fax Number | 2525376515 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GERARDO M MARADIAGA (SECRETARY TREASURER) |
| Authorized Official Telephone | 2525370134 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8901746 | 05 | |
| NC | BCBSNC | 01746 | 01 |
| Street Address |
270 SMITH CHURCH ROAD |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870-4914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356412878 | Narayanachar C Sekaran | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| 1316018831 | Mahendra S Patel | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| 1730250267 | Jonathan Juturu Jack | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870 | 2006-11-13 |
| 1457422982 | Natarajan Manickam | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| 1114098647 | Somasekhara R Balla | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870-4914 | 2006-11-13 |
| 1023189545 | Meena Sekaran | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870 | 2006-11-13 |
| 1841361367 | Gerardo Marcial Maradiaga | Internal Medicine | 270 Smith Church Road, Roanoke Rapids, NC 27870 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851340 | Be Inc | Clinic/Center | 13 N Kaufman Stone Way, Candler, NC 28715-7721 | 2020-11-06 |
| 1801424171 | Recover Together, Inc. | Clinic/Center | 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 | 2020-03-31 |
| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
| Find all providers with the same taxonomy | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
Please comment or provide details below to improve the information on HALIFAX MEDICAL SPECIALISTS PA.
| 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.