PEDZFEEDZ, PLLC (NPI# 1982105375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982105375 |
| Entity Type | Organization |
| Organization Name | PEDZFEEDZ, PLLC |
| Practice Address |
720 Saint James Dr Wilmington NC 28403 |
| Mailing Address |
36 Newport St Ocean Isle Beach NC 28469-7626 |
| Practice Telephone | 9192706781 |
| Practice Fax Number | 9192706781 |
| Mailing Telephone | 9192706781 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | NANNETTE BLOIS MARTIN (CEO) |
| Authorized Official Telephone | 9192706781 |
| Authorized Official Credential | PNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
720 SAINT JAMES DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063712099 | Tara Michelle Eichert | Dietitian, Registered | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2010-10-25 |
| 1205437084 | Jaya Rose Perentis | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1578164372 | Eleanor Winston | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1013518810 | Caroline Faith Pittman | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-06 |
| 1477154425 | Miranda Sue Durcholz | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-11-05 |
| 1548878127 | Michael John Mathews | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-07-20 |
| 1548885817 | Tiffany R Kronenwetter | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2020-06-12 |
| 1174174270 | Alexandria Rae Brown | Behavior Technician | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2019-09-20 |
| 1518429026 | Connor Marie Sheehan | Behavioral Analyst | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2019-04-03 |
| 1013497379 | Ashleigh Lynn Leuck | Psychologist | 720 Saint James Dr, Wilmington, NC 28403-2937 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669904223 | Gabriele Hunter | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2017-03-31 |
| 1558695296 | Vikas Uppal | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2009-09-29 |
| 1033348297 | Erika Michelle Kutsch | Pediatrics | 1600 Rockland Rd, Dupont Children's Hospital- Gi Department, Wilmington, DE 19803-3607 | 2009-07-09 |
| 1174721799 | Rebecca O. Ramirez | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2007-07-05 |
| 1497845267 | Katherine L Freeman | Pediatrics | 2131 S 17th St, Wilmington, NC 28401-7407 | 2006-10-13 |
| 1366530974 | Attila G Devenyi | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2006-10-10 |
| 1982796736 | Roy Proujansky | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1023100872 | Stephen E. Shaffer | Pediatrics | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1679665459 | Seema Khan | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| 1619068988 | Jose F. Delrosario | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-28 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
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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.