WALTER V MEADORS JR. (NPI# 1871588962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871588962 |
| Entity Type | Individual |
| Full Name | WALTER V MEADORS JR. |
| Credential | M.D. |
| Practice Address |
1669 Davie Ave Statesville NC 28677-3519 |
| Mailing Address |
650 Signal Hill Drive Ext Po Box 1845 Statesville NC 28625-4353 |
| Practice Telephone | 7048725201 |
| Mailing Telephone | 7048734277 |
| Mailing Fax Number | 7048734511 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2008-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 28779 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8958292 | 05 |
| Street Address |
1669 DAVIE AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303309 | Deborah Kimberly Daywalt | Nurse Practitioner | 1669 Davie Ave, Statesville, NC 28677-3519 | 2019-09-04 |
| 1710450002 | Piedmont Healthcare, Pa | Internal Medicine | 1669 Davie Ave, Statesville, NC 28677-3519 | 2019-01-09 |
| 1891172904 | Ashley Webster | Nurse Practitioner | 1669 Davie Ave, Statesville, NC 28677-3519 | 2015-04-28 |
| 1245222751 | Phillip R Goodson | Obstetrics & Gynecology | 1669 Davie Ave, Statesville, NC 28677-3519 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275069858 | Statesville Hma Medical Group LLC | Obstetrics & Gynecology | 555 Kitchings Dr, Statesville, NC 28677-3576 | 2017-05-03 |
| 1881673838 | Roshnara Singh | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2006-01-10 |
| 1316939036 | Michael Avery Kepley | Obstetrics & Gynecology | 1446 Fern Creek Dr, Statesville, NC 28625-9376 | 2005-08-18 |
| 1538653449 | Piedmont Healthcare, P.a. | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2018-06-15 |
| 1265844211 | Ariel Jaleigh Ansley | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677 | 2014-05-27 |
| 1710301437 | Compassionate Women's Healthcare | Obstetrics & Gynecology | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2014-02-17 |
| 1114293172 | Margot Wacks | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2012-03-23 |
| 1710261151 | Statesville Hma Medical Group, LLC | Obstetrics & Gynecology | 1410 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-10-04 |
| 1558666362 | Laura Randolph | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2011-01-26 |
| 1508977927 | Mary E Torres | Obstetrics & Gynecology | 1804 Davie Ave, Statesville, NC 28677-3524 | 2006-08-31 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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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.