DR. ANDREW J LODGE (NPI# 1922198142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922198142 |
| Entity Type | Individual |
| Full Name | DR. ANDREW J LODGE |
| Credential | M.D. |
| Practice Address |
2936 N Elm St Lumberton NC 28358-2981 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2017-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9800088 | NC | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 98-00088 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89134XK | 05 |
| Street Address |
2936 N ELM ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053344242 | Private Diagnostic Clinic, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2936 N Elm St, Suite 102, Lumberton, NC 28358-2981 | 2006-07-09 |
| 1669928776 | Alissa Natalie Binford | Physician Assistant | 2936 N Elm St, Suite #102, Lumberton, NC 28358-2981 | 2016-08-29 |
| 1629207220 | Marla Brien Lewis | Nurse Practitioner | 2936 N Elm St, Lumberton, NC 28358-2981 | 2009-07-06 |
| 1992994164 | Kelly Allen Evans | Nurse Practitioner | 2936 N Elm St, Lumberton, NC 28358-2981 | 2007-10-23 |
| 1124153861 | Private Diagnostic Clinic, Pllc | Internal Medicine | 2936 N Elm St, Ste. 102, Lumberton, NC 28358-2981 | 2007-02-22 |
| 1215026638 | Robert George Everhart | Internal Medicine | 2936 N Elm St, Suite 102, Lumberton, NC 28358-2981 | 2006-10-12 |
| 1225061427 | Private Diagnostic Clinic, Pllc | Surgery | 2936 N Elm St, Suite 101, Lumberton, NC 28358-2981 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053344242 | Private Diagnostic Clinic, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2936 N Elm St, Suite 102, Lumberton, NC 28358-2981 | 2006-07-09 |
| 1255363990 | George C Hughes Iv | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 403 W 27th St, Lumberton, NC 28358-3019 | 2006-07-06 |
| 1003990912 | Shu Lin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 403 W 27th St, Lumberton, NC 28358-3019 | 2006-10-25 |
| 1508946633 | Carmelo A Milano | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 403 W 27th St, Lumberton, NC 28358-3019 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1619294345 | Peter John Smit | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Cardiothoracic Surgery, Wake Forest Baptist Hospital Medical Center Boulevard, Winston Salem, NC 27157 | 2010-04-20 |
| 1679707913 | Chayanin Vatcharasiritham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 | 2009-05-14 |
| 1497903884 | Kecia Renee Simmons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2203 Neuse Boulevard, Coastal Surgical Specialists, Pa, New Bern, NC 28560-4311 | 2008-08-28 |
| 1871750406 | Betty Caroline Tong | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Duke South Rm 3589, Durham, NC 27710-0001 | 2008-05-21 |
| 1376715656 | Thomas George Caranasos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3040 Burnett Womack Building, Campus Box 7065, Chapel Hill, NC 27599-7065 | 2008-03-27 |
| 1689859332 | Ansar Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Moye Blvd, Greenville, NC 27834-4300 | 2007-12-31 |
| 1801077268 | Pinehurst Surgical Clinic Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 109 Physicians Park, Rockingham, NC 28379-5205 | 2007-11-14 |
| 1316047582 | Leon G Alexander | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17200 Due West Dr, Charlotte, NC 28278-9003 | 2006-09-25 |
| 1023029485 | Joseph William Cook | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ANDREW J LODGE.
| 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.