KAILASH CHANDWANI (NPI# 1912126244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912126244 |
| Entity Type | Individual |
| Full Name | KAILASH CHANDWANI |
| Other Name | FNU KAILASH |
| Credential | M.D. |
| Practice Address |
4901 Dawn Dr Suite 3300 Lumberton NC 28360-8287 |
| Mailing Address |
2002 N Cedar St Ste B Lumberton NC 28358-3926 |
| Practice Telephone | 9106719298 |
| Practice Fax Number | 9106714850 |
| Mailing Telephone | 9102723048 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2012-02074 | NC | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD440134 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5922103 | 05 |
| Street Address |
4901 DAWN DR SUITE 3300 |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28360-8287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1881046035 | Sashah Davis | Specialist/Technologist | 4901 Dawn Dr, Lumberton, NC 28360-8287 | 2016-07-11 |
| 1720434525 | Southeastern Health Physician Services | Clinic/Center | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 | 2016-05-11 |
| 1518332162 | Brendon Michael Jonsson | Specialist/Technologist | 4901 Dawn Dr, Suite 2300, Lumberton, NC 28360-8287 | 2015-12-08 |
| 1790152668 | Southeastern Regional Medical Center | General Acute Care Hospital | 4901 Dawn Dr, Lumberton, NC 28360-8287 | 2015-08-27 |
| 1235506569 | Jamie Young | Nurse Practitioner | 4901 Dawn Dr, Suite 2300, Lumberton, NC 28360-8287 | 2015-08-21 |
| 1699179903 | Carolina Bays Anesthesia, P.C. | Anesthesiology | 4901 Dawn Dr, Suite 1100, Lumberton, NC 28360-8207 | 2014-10-15 |
| 1972911030 | Southeastern Ambulatory Surgery Center, LLC | Clinic/Center | 4901 Dawn Dr, Suite 1100, Lumberton, NC 28360-8207 | 2014-07-31 |
| 1548672504 | Southeastern Regional Physician Services | Internal Medicine | 4901 Dawn Dr, 3rd Floor Suite 4, Lumberton, NC 28360-8207 | 2014-05-27 |
| 1578975611 | Southeastern Regional Physician Services | Physical Medicine & Rehabilitation | 4901 Dawn Dr, 3rd Floor Suite 1, Lumberton, NC 28360-8207 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
| 1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
| 1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
| 1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
| 1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
| 1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
| 1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
| 1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
| Find all providers in zip 28360 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790220408 | Interventional Pain Center, Pllc | Anesthesiology | 4320 Fayetteville Rd, Suite A, Lumberton, NC 28358-2706 | 2017-01-04 |
| 1063815124 | Southeastern Regional Medical Center | Anesthesiology | 300 W 27th St, Lumberton, NC 28358-3075 | 2014-10-03 |
| 1003190638 | Southeastern Regional Medical Center | Anesthesiology | 300 W 27th St, Lumberton, NC 28358-3075 | 2011-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1598235830 | Mission Community Anesthesiology Specialists LLC | Anesthesiology | 89 Hospital Dr Ste C, Brevard, NC 28712-4838 | 2018-11-29 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1508347048 | Premier Pain Solutions Pllc | Anesthesiology | 5710 Oleander Dr Ste 201, Wilmington, NC 28403-4722 | 2018-08-23 |
| 1417434069 | Kyle Mason Fisher | Anesthesiology | Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 | 2018-07-26 |
| 1306351432 | Carteret Surgical Associates P.a. | Anesthesiology | 2145 Country Club Rd Ste 400, Jacksonville, NC 28546-2400 | 2017-12-12 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1356898720 | Ketamine Wellness Institute | Anesthesiology | 414 Cosgrove Ave, Chapel Hill, NC 27514-5271 | 2016-09-02 |
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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.