MR. ERIC SEMLER (NPI# 1811131113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811131113 |
| Entity Type | Individual |
| Full Name | MR. ERIC SEMLER |
| Credential | IDMT |
| Practice Address |
1050 Jabarrah Ave Seymour Johnson Air Force Base Goldsboro NC 27531-2310 |
| Practice Telephone | 9197221293 |
| Practice Fax Number | 9197221956 |
| Mailing Telephone | 9197221293 |
| Mailing Fax Number | 9197221956 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities |
| Street Address |
1050 JABARRAH AVE SEYMOUR JOHNSON AIR FORCE BASE |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27531-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114363884 | Nathan Lee Carlson | Military Health Care Provider | 1050 Jabarrah Ave, Goldsboro, NC 27531-2310 | 2013-05-21 |
| 1447561279 | Anaise Hope Hines | Nurse Practitioner | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2010-06-26 |
| 1770573370 | Charlene Y Kirby | Physician Assistant | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-10-25 |
| 1023008638 | Jerome L Ellis | Social Worker | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-10-25 |
| 1407846256 | Kevin M Lier | Pharmacist | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-10-24 |
| 1588654339 | Mark S Holden | Psychologist | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-10-24 |
| 1497745277 | C. Dianne Bailey | Nurse Practitioner | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-10-24 |
| 1952390916 | Carla D Atkins | Social Worker | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-10-20 |
| 1336132893 | Tara Nichole Piech | Family Medicine | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-08-30 |
| 1992798474 | Terry Alan Peterson | Dentist | 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185348 | Adam Golos | Pharmacist | 2803 Medical, N Campus Dr, Goldsboro, NC 27531 | 2019-10-11 |
| 1346747011 | Rachel Eden Leigh Palmer | Military Health Care Provider | 2803 Medical Campus Dr, Seymour Johnson Afb, NC 27531 | 2018-04-10 |
| 1689108508 | Peri Fouss | Pediatrics | 2803 Medical Campus Drive, Goldsboro, NC 27531 | 2017-04-18 |
| 1700256427 | Karen Schaefer | Psychologist | 1050 Jabara Ave., Goldsboro, NC 27531 | 2015-10-07 |
| 1679059737 | Charles Billig | Physician Assistant | 2803 Medical Campus Dr, Goldsboro, NC 27531 | 2018-07-12 |
| 1710413216 | Michael Everett Ridlehoover | Dentist | 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531 | 2017-05-04 |
| 1679924344 | Austin Mcjunkins | Surgery | 1050 Jabara Ave, Seymour Johnson A F B, NC 27531 | 2016-06-23 |
| 1033596937 | Christina Marie Pyeatt | Military Health Care Provider | 1050 Jabara Ave, Flight Medicine Clinic, Seymour Johnson Afb, NC 27531 | 2015-04-29 |
| 1790931723 | Joshua S Swantek | Pharmacist | 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531 | 2008-08-11 |
| 1750430435 | Brooke Wenman Heroux | Psychologist | 1050 Jabara Ave, Goldsboro, NC 27531 | 2007-01-10 |
| Find all providers in zip 27531 | ||||
| Taxonomy Code | 261QM1101X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military and U.S. Coast Guard Ambulatory Procedure |
| That part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173558 | Thomas Koritz Clinic | Clinic/Center | 1050 Jabara Avenue, Seymour Johnson Afb, NC 27531-2310 | 2005-12-06 |
| 1942386628 | Womack Army Medical Center | Clinic/Center | 2817 Reilly St, Fort Bragg, NC 28310-7301 | 2006-10-27 |
| 1619957586 | 43rd Medical Group | Clinic/Center | 383 Maynard St, 43rd Medical Group, Pope Afb, NC 28308-2321 | 2006-01-18 |
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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.