DR. DAWN PROVENZALE (NPI# 1780785196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780785196 |
| Entity Type | Individual |
| Full Name | DR. DAWN PROVENZALE |
| Credential | MD, MS |
| Practice Address |
508 Fulton St # 152 Building 6 Durham NC 27705-3875 |
| Practice Telephone | 9192862287 |
| Practice Fax Number | 9194165839 |
| Mailing Telephone | 9192862287 |
| Mailing Fax Number | 9194165839 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35726 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
508 FULTON ST # 152 BUILDING 6 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417131442 | Jennifer Leigh Strauss | Psychologist | 508 Fulton St # 152, Durham Va Medical Center, Durham, NC 27705-3875 | 2007-12-27 |
| 1386833952 | Jennifer Peterson Taylor | Pharmacist | 508 Fulton St # 152, Hsr&d, Bldg 16, Rm 70, Durham, NC 27705-3875 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235365297 | Matthew R Kappus | Internal Medicine | Duke Gastroenterology Dumc 3923, Durham, NC 27710 | 2009-06-04 |
| 1962571232 | Douglas A. Drossman | Internal Medicine | 5826 Fayetteville Rd Ste 201, Durham, NC 27713-8684 | 2006-11-08 |
| 1487602561 | Richard K Wood Jr. | Internal Medicine | Dumc 3662, Durham, NC 27710-0001 | 2006-05-04 |
| 1891755153 | Scott Robert Brazer | Internal Medicine | 249 E Nc Highway 54, Suite 200, Durham, NC 27713-7512 | 2006-03-23 |
| 1902875727 | John T Geneczko Jr. | Internal Medicine | 200 Trent Dr, 3662 Dumc, Durham, NC 27710-2479 | 2006-03-15 |
| 1013310457 | Raghubinder S Gill | Internal Medicine | 40 Duke Medicine Cir, Duke Clinic 2h, Durham, NC 27710-4000 | 2014-09-30 |
| 1720493521 | Private Diagnostic Clinic, Pllc | Internal Medicine | 249 E Nc Highway 54, Suite 200, Durham, NC 27713-7512 | 2014-07-01 |
| 1730593013 | Danny George Cheriyan | Internal Medicine | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2014-06-16 |
| 1467794735 | Brian Sullivan | Internal Medicine | 508 Fulton St, Durham, NC 27705-3875 | 2013-03-25 |
| 1194083527 | Benjamin Rembold Lloyd | Internal Medicine | 2301 Erwin Rd, Durham, NC 27705-4699 | 2012-04-23 |
| Find all providers in DURHAM | ||||
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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.