JAMES M. MERTESDORF (NPI# 1891789756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891789756 |
Entity Type | Individual |
Full Name | JAMES M. MERTESDORF |
Credential | M.D. |
Practice Address |
1515 Doctors Cir Hanover Medical Specialists Wilmington NC 28401-7403 |
Practice Telephone | 9107631219 |
Practice Fax Number | 9107630291 |
Mailing Telephone | 9107631219 |
Mailing Fax Number | 9107630291 |
Enumeration Date | 2005-09-07 |
Last Update Date | 2007-11-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
27826 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8958702 | 05 |
Street Address |
1515 DOCTORS CIR HANOVER MEDICAL SPECIALISTS |
City | WILMINGTON |
State | NC |
Zip Code | 28401-7403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780677187 | William A Crafford Jr. | Internal Medicine | 1515 Doctors Cir, Hanover Medical Specialists, P.a., Wilmington, NC 28401-7403 | 2005-08-31 |
1417219163 | Carolina Healthcare Associates, Inc. | Internal Medicine | 1515 Doctors Cir, Building C, Wilmington, NC 28401-7403 | 2012-06-08 |
1922327154 | Hanover Medical Specialists, P.a. | Dietitian, Registered | 1515 Doctors Cir, Wilmington, NC 28401-7403 | 2010-05-27 |
1871755603 | Hanover Medical Specialists Pa | Clinic/Center | 1515 Doctors Cir, Hanover Medical Specialists Pa, Wilmington, NC 28401-7403 | 2008-07-02 |
1851570444 | Kenneth Nathan Gregory | Nurse Practitioner | 1515 Doctors Cir, Buidling C, Wilmington, NC 28401-7403 | 2007-10-30 |
1598892895 | Christine J. Furmick | Physician Assistant | 1515 Doctors Cir, Hanover Medical Specialists, Wilmington, NC 28401-7403 | 2007-02-27 |
1477598944 | Hanover Medical Specialists P A | Internal Medicine | 1515 Doctors Cir, Wilmington, NC 28401-7403 | 2006-06-18 |
1285603332 | Eileen Marie Ceponis | Nurse Practitioner | 1515 Doctors Cir, Hanover Medical Specialists, Pa, Wilmington, NC 28401-7403 | 2006-03-14 |
1548240229 | Scott Louis Itzkowitz | Internal Medicine | 1515 Doctors Cir, Building A, Wilmington, NC 28401-7403 | 2006-01-19 |
1972597839 | Michael J. Moeller | Internal Medicine | 1515 Doctors Cir, Building C, Wilmington, NC 28401-7403 | 2005-09-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
Find all providers in zip 28401 |
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 |
---|---|---|---|---|
1326008509 | Donald Anthony Girard | Internal Medicine | 2601 Annand Dr Ste 19, Wilmington, DE 19808-3719 | 2006-03-23 |
1720072150 | William Gramley | Internal Medicine | 1520 Physicians Dr, Ste B, Wilmington, NC 28401-7356 | 2005-08-31 |
1174095160 | Donald A Girard Md Pa | Internal Medicine | 2601 Annand Dr Ste 19, Wilmington, DE 19808-3719 | 2019-01-02 |
1033467055 | Saint Francis Hospital Inc. | Internal Medicine | 701 N Clayton St, Wilmington, DE 19805-3165 | 2012-08-23 |
1851655930 | Carolina Healthcare Associates Inc | Internal Medicine | 1415 Medical Center Dr, Wilmington, NC 28401-7504 | 2012-07-03 |
1790046894 | Carolina Healthcare Associates Inc | Internal Medicine | 1520 Physicians Dr, Ste B, Wilmington, NC 28401-7356 | 2012-06-05 |
1184882227 | Mariam Shahbazian Sauer | Internal Medicine | 5115 Oleander Dr, Wilmington, NC 28403-7018 | 2008-05-27 |
1881863785 | Joseph Gallagher | Internal Medicine | 1000 Brabham Avenue, Attn: Credentialing, Wilmington, NC 28546-5003 | 2008-02-25 |
1598884405 | Cmc Department of Medicine Group Pa | Internal Medicine | 7th & Clayton Sts, Saint Francis Medical Center, Wilmington, DE 19805 | 2007-03-29 |
1225199409 | Allan Hiroshi Andrews | Internal Medicine | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2006-12-12 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28401 |
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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.