JOHN H MYRACLE (NPI# 1871569046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871569046 |
| Entity Type | Individual |
| Full Name | JOHN H MYRACLE |
| Credential | MD |
| Practice Address |
114 Kinderton Blvd Advance NC 27006-7302 |
| Mailing Address |
1701 Westchester Drive Suite 850 High Point NC 27262-7254 |
| Practice Telephone | 3369989742 |
| Practice Fax Number | 3369989410 |
| Mailing Telephone | 3368022536 |
| Mailing Fax Number | 3368022534 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2012-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 22603 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8961727 | 05 |
| Street Address |
114 KINDERTON BLVD |
| City | ADVANCE |
| State | NC |
| Zip Code | 27006-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639525199 | Chelsey Pait Beasley | Nurse Practitioner | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2016-05-13 |
| 1407291107 | Cornerstone Health Care, Pa | Psychologist | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2013-05-08 |
| 1801187059 | Kelly Jean Duffy | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2011-04-22 |
| 1508155169 | Casey Kenyon Mahle | Nurse Practitioner | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2011-04-05 |
| 1205074333 | Christian Connor Hall | Nurse Practitioner | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2009-01-27 |
| 1124265236 | Cornerstone Health Care, LLC | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2009-01-12 |
| 1609972975 | Susan Yurgel Hunsinger | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-09-15 |
| 1972565661 | Kathy Lynn Gross | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-04-06 |
| 1760443378 | Karen Hill Wells | Physician Assistant | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811567 | Venessa Brunt | Home Health | 271 Orchard Park Drive, Advance, NC 27006 | 2020-08-17 |
| 1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
| 1104339084 | Mark Curry Maynard | Registered Nurse | 125 W Robin Dr, Advance, NC 27006 | 2017-11-14 |
| 1457781585 | Christa Cook | Physical Therapist | 316 N Carolina 801, Advance, NC 27006 | 2013-11-27 |
| 1801029582 | Bonnie T. Bergen | Pharmacist | 260 Us Hwy 801 N, Advance, NC 27006 | 2009-08-28 |
| 1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
| 1114101078 | Dr. Todd Carter D.d.s | Dentist | 123 Nc Highway 801 S. #c-100, Advance, NC 27006 | 2007-12-27 |
| 1437373883 | Adam T. Dorsett | Dentist | 127 Royal Troon Ln, Advance, NC 27006 | 2007-04-13 |
| 1861583882 | Todd H Carter | Dentist | 123 Nc Hwy 801 South, C-100, Advance, NC 27006 | 2006-09-27 |
| 1104927987 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 260 Highway 801, Advance, NC 27006 | 2006-09-26 |
| Find all providers in zip 27006 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801187059 | Kelly Jean Duffy | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2011-04-22 |
| 1124265236 | Cornerstone Health Care, LLC | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2009-01-12 |
| 1609972975 | Susan Yurgel Hunsinger | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-09-15 |
| 1972565661 | Kathy Lynn Gross | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627146 | Kidzcare Pediatrics, PC | Pediatrics | Kidzcare Pediatrics, PC, 312 South Mccaskey Road, Williamston, NC 27892-2150 | 2020-10-21 |
| 1619582343 | Carolinas Physicians Network Inc | Pediatrics | 9908 Couloak Dr Ste 103, Charlotte, NC 28216-8678 | 2020-09-10 |
| 1992310627 | Carolinas Physicians Network Inc | Pediatrics | 1585 Forney Creek Pkwy Ste 2100, Denver, NC 28037-9520 | 2020-09-10 |
| 1861004426 | Carolinas Physicians Network Inc | Pediatrics | 4501 Cameron Valley Pkwy Ste 200-b, Charlotte, NC 28211-4297 | 2020-08-17 |
| 1871114470 | Kidzcare Pediatrics, PC | Pediatrics | 327 W College Ave, Shelby, NC 28152-8111 | 2020-05-05 |
| 1568082212 | Kidzcare Pediatrics, PC | Pediatrics | 416 Mccullough Dr Ste 140, Charlotte, NC 28262-4390 | 2020-04-23 |
| 1881222404 | Victoria Marie Carvajal | Pediatrics | Cmc/levine's Children's Hospital 1000 Blythe Blvd, 4th Floor, Meb, Charlotte, NC 28203-8812 | 2020-03-30 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1689201568 | Mark Selna | Pediatrics | 13 Weybridge Pl, Chapel Hill, NC 27517-8938 | 2020-03-23 |
| 1407488349 | Beth A Scisciani | Pediatrics | 8654 Walsham Dr, Charlotte, NC 28277-1850 | 2020-02-09 |
| 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.