David J Surovchak (NPI# 1205262029, PAC ID# 2365672607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1205262029 |
| PAC ID by PECOS | 2365672607 |
| Professional Enrollment ID | I20140305001541 |
| Full Name | David J Surovchak |
| Organization Legal Name | CAROLINA FAMILY HEALTH CENTERS INC |
| Address |
303 Green St E Wilson NC 27893-4105 |
| Phone Number | 2522439800 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6800841107 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340126 | WILSON MEDICAL CENTER |
| 340147 | NASH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 178 Hwy 105 Ext 101, Boone, NC 28607-5667 | 8282657146 | FASTMED URGENT CARE PC |
| 222 Ashville Ave, Suite 20, Cary, NC 27518-6130 | 9197815600 | RALEIGH ORTHOPAEDIC CLINIC PA |
| 5156 Nc Hwy 42 W, Garner, NC 27529-8417 | 9193295000 | FASTMED URGENT CARE PC |
| 1311 E Millbrook Rd, Raleigh, NC 27609-5473 | 9197190119 | FASTMED URGENT CARE PC |
| 3001 Edwards Mill Rd, Suite 200, Raleigh, NC 27612-5243 | 9197815600 | RALEIGH ORTHOPAEDIC CLINIC PA |
| 6500 Creedmoor Rd, Suite 110, Raleigh, NC 27613-3698 | 9198254000 | FASTMED URGENT CARE PC |
| 303 Green St E, Wilson, NC 27893-4105 | 2522439800 | CAROLINA FAMILY HEALTH CENTERS INC |
| Organization Legal Name | CAROLINA FAMILY HEALTH CENTERS INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Majette Enyinnaya | Nurse Practitioner | Carolina Family Health Centers Inc | 8282 Nc 58, Elm City, NC 27822-8079 |
| Savannah D Junkins | Physician Assistant | Carolina Family Health Centers Inc | 162 Nc 33 E Hwy, Tarboro, NC 27886 |
| Amparito Fiallo | Family Medicine | Carolina Family Health Centers Inc | 303 Green St E, Wilson, NC 27893-4105 |
| Shawn R Phillips | Nurse Practitioner | Carolina Family Health Centers Inc | 8282 Nc 58, Elm City, NC 27822-8079 |
| Erika Raya Guerra | Nurse Practitioner | Carolina Family Health Centers Inc | 8282 Nc 58, Elm City, NC 27822-8079 |
| Sandra K Baker | Family Medicine | Carolina Family Health Centers Inc | 303 Green St E, Wilson, NC 27893-4105 |
| Clifton J Williams | Physician Assistant | Carolina Family Health Centers Inc | 162 Nc 33 E Hwy, Tarboro, NC 27886 |
| George T Talbot | Family Medicine | Carolina Family Health Centers Inc | 8282 Nc 58, Elm City, NC 27822-8079 |
| Nicholas A Patrone | Family Medicine | Carolina Family Health Centers Inc | 8282 Nc 58, Elm City, NC 27822-8079 |
| Gonzalo Cabral | Internal Medicine | Carolina Family Health Centers Inc | 8282 Nc 58, Elm City, NC 27822-8079 |
| Street Address |
303 GREEN ST E |
| City | WILSON |
| State | NC |
| Zip | 27893-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amparito Fiallo | Family Medicine | Carolina Family Health Centers Inc | 303 Green St E, Wilson, NC 27893-4105 |
| Sandra K Baker | Family Medicine | Carolina Family Health Centers Inc | 303 Green St E, Wilson, NC 27893-4105 |
| Karen Reyes Lavieri | Nurse Practitioner | Carolina Family Health Centers Inc | 303 Green St E, Wilson, NC 27893-4105 |
| Corina L Buzard | Physician Assistant | Carolina Family Health Centers Inc | 303 Green St E, Wilson, NC 27893-4105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Elizabeth Dean | Certified Registered Nurse Anesthetist (crna) | Carolina Anesthesia Associates Pa | 20402 Camden Swst, Suite 300, Wilson, NC 27893 |
| Medhat F Sidaros | Internal Medicine | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| James M Fitch | Physician Assistant | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Catherine Margaret Melin | Nurse Practitioner | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| Wallace Royce Nelms Jr. | Family Medicine | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Leana Lefrapper Higgins | Physician Assistant | Nelms Family and Preventive Medicine Pa | 2546 Ward Blvd, Wilson, NC 27893-1600 |
| Elizabeth Woods Oates | Psychiatry | Dlp Wilson Physician Practices LLC | 2508 Ward Blvd, Wilson, NC 27893-1600 |
| Chad W Cato | Chiropractic | 2000 Nash St N, Suite E, Wilson, NC 27893-1724 | |
| James M Bolton | Chiropractic | 2801 Ward Blvd, Suite 7a, Wilson, NC 27893-1752 | |
| Joyce S Smith | Nurse Practitioner | Skin Surgery Center Pa | 2874 Ward Blvd, Wilson, NC 27893-1761 |
| Find all physicians in zip 27893 | |||
| City | WILSON |
| Zip Code | 27893 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WILSON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on David J Surovchak.
| 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.