Phillip David Khan (NPI# 1205035102, PAC ID# 1951542034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
Nation Provider ID (NPI) | 1205035102 |
PAC ID by PECOS | 1951542034 |
Professional Enrollment ID | I20130801000436 |
Full Name | Phillip David Khan |
Organization Legal Name | NOVANT MEDICAL GROUP INC |
Address |
1456 N Howe St Suite 201 Southport NC 28461-2672 |
Phone Number | 9107214150 |
Gender | M |
Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
Group Practice PAC ID | 1153234893 |
Number of Group Practice Members | 1778 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1456 N Howe St, Suite 201, Southport, NC 28461-2672 | 9107214150 | NOVANT MEDICAL GROUP INC |
Organization Legal Name | NOVANT MEDICAL GROUP INC |
Physicians | 1795 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
Street Address |
1456 N HOWE ST SUITE 201 |
City | SOUTHPORT |
State | NC |
Zip | 28461-2672 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ryan C Tighe | Family Medicine | Novant Medical Group Inc | 1456 N Howe St, Suite 201, Southport, NC 28461-2674 |
Matthew J Lucas | Nurse Practitioner | Novant Medical Group Inc | 1456 N Howe St, Suite 201, Southport, NC 28461-2672 |
David J Davies | Chiropractic | 1456 N Howe St, Suite 103, Southport, NC 28461-2674 | |
Tara J Parnell | Optometry | 1456 N Howe St, Suite 100, Southport, NC 28461-2674 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lana Simmons | Nurse Practitioner | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
Sara E Clagg | Nurse Practitioner | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
Joyce Pilar Johnson | Family Medicine | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
Scott Lionel Girard | Hospitalist | Novant Medical Group Inc | 2950 Pine Plantation Pkwy, Oak Island, NC 28461-0119 |
Barton Schneyer | Pulmonary Disease | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
Cheryl N Owen | Nurse Practitioner | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
Melissa A Denman | Nurse Practitioner | Southport Pulmonary Medicine Pllc | 1517 N Howe St, Suite 12, Southport, NC 28461-2608 |
Amanda Reynolds | Nurse Practitioner | J. Arthur Dosher Memorial Hospital | 1513 N Howe St, Suite 6, Southport, NC 28461-2770 |
Douglas K Hiltz Jr. | Internal Medicine | J. Arthur Dosher Memorial Hospital | 1513 N Howe St, Suite 6, Southport, NC 28461-2770 |
Lisa Ann D'oria | Physical Therapy | Emergeortho Pa | 1517 N Howe St, Southport, NC 28461-2772 |
Find all physicians in zip 28461 |
City | SOUTHPORT |
Zip Code | 28461 |
Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
City + Specialty | SOUTHPORT + PLASTIC AND RECONSTRUCTIVE SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.