KER BOYCE IV (NPI# 1962441808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962441808 |
| Entity Type | Individual |
| Full Name | KER BOYCE IV |
| Credential | MD |
| Practice Address |
205 Page Rd Pinehurst NC 28374-8798 |
| Practice Telephone | 9102955511 |
| Practice Fax Number | 9102353422 |
| Mailing Telephone | 9102955511 |
| Mailing Fax Number | 9102353422 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9900776 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
9900776 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
205 PAGE RD |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745525 | David John Kersbergen | Family Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2005-10-28 |
| 1770192700 | Jennifer Taylor Reid | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8798 | 2020-07-27 |
| 1477188019 | Laura Jo Love | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2020-03-04 |
| 1265902852 | Chelsea Marie Fairley | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374 | 2018-11-27 |
| 1417433145 | Carolina Nick | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374-8749 | 2018-07-16 |
| 1295262103 | Mcpc-18, LLC | Internal Medicine | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-05-23 |
| 1447782776 | Gail C. Lowery | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2017-03-27 |
| 1275072753 | Skyler W Rogers | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374 | 2017-02-17 |
| 1902356579 | Sara K Erdwins | Physician Assistant | 205 Page Rd, Pinehurst, NC 28374-8749 | 2016-10-07 |
| 1235688284 | Savannah M Fodero | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8749 | 2016-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
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| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1952348682 | Mark D Landers | Internal Medicine | 7 Regional Cir, Pinehurst, NC 28374-9796 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316120017 | Anil K Gehi | Internal Medicine | 6025 Burnett Womack Bldg Cb 7075, 160 Dental Circle, Chapel Hill, NC 27599-7075 | 2007-12-17 |
| 1114076395 | David W Frazier | Internal Medicine | 2340 Hemby Lane, Suite 100, Greenville, NC 27834 | 2007-01-09 |
| 1275557571 | Sherry Saxonhouse | Internal Medicine | 307 Yadkin St, Albemarle, NC 28001-3441 | 2006-07-27 |
| 1720042013 | Angela M Park | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-04-13 |
| 1588624217 | Hemantkumar Patel | Internal Medicine | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2006-03-25 |
| 1922009935 | Sanjay Prasher | Internal Medicine | 2301 Robeson St, Suite 301, Fayetteville, NC 28305-5640 | 2005-08-02 |
| 1154320307 | John Mark Englehardt | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-19 |
| 1801495387 | Gillian Grace Winter | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-10-26 |
| 1063077436 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
| 1780076000 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-02-24 |
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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.