Khaled F Jreisat (NPI# 1396843132, PAC ID# 2769419258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1396843132 |
| PAC ID by PECOS | 2769419258 |
| Professional Enrollment ID | I20050726001205 |
| Full Name | Khaled F Jreisat |
| Organization Legal Name | MID ATLANTIC NEUROLOGY AND SLEEP MEDICINE, P.A. |
| Address |
34 Office Park Dr Suite 100 Jacksonville NC 28546-3221 |
| Phone Number | 9103533624 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1978 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | SLEEP MEDICINE |
| Group Practice PAC ID | 7618015637 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340042 | ONSLOW MEMORIAL HOSPITAL |
| 340120 | VIDANT DUPLIN HOSPITAL |
| 340131 | CAROLINA EAST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 34 Office Park Dr, Suite 100, Jacksonville, NC 28546-3221 | 9103533624 | MID ATLANTIC NEUROLOGY AND SLEEP MEDICINE, P.A. |
| Organization Legal Name | MID ATLANTIC NEUROLOGY AND SLEEP MEDICINE, P.A. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terra Lynn Kamp | Nurse Practitioner | Mid Atlantic Neurology and Sleep Medicine, P.a. | 34 Office Park Dr, Suite 100, Jacksonville, NC 28546-3221 |
| Rena Church | Nurse Practitioner | Mid Atlantic Neurology and Sleep Medicine, P.a. | 34 Office Park Dr, Suite 100, Jacksonville, NC 28546-3217 |
| Street Address |
34 OFFICE PARK DR SUITE 100 |
| City | JACKSONVILLE |
| State | NC |
| Zip | 28546-3221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terra Lynn Kamp | Nurse Practitioner | Mid Atlantic Neurology and Sleep Medicine, P.a. | 34 Office Park Dr, Suite 100, Jacksonville, NC 28546-3221 |
| Rena Church | Nurse Practitioner | Mid Atlantic Neurology and Sleep Medicine, P.a. | 34 Office Park Dr, Suite 100, Jacksonville, NC 28546-3217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Logan Alexander Kaptis | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Taylor Elise Curfman | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Brianne Landholt | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Kelly Cabanne | Physical Therapy | Activcare Physical Therapy, LLC | 308 Brynn Rd, Jacksonville, NC 28546 |
| Scott A Playford | Sports Medicine | Emergeortho Pa | 2000 Brabham Ave, Jacksonville, NC 28546-0200 |
| Antionio E Rodriguez | Cardiovascular Disease (cardiology) | Carolinaeast Physicians | 4275 Western Blvd, Jacksonville, NC 28546-1100 |
| Becky Holmberg | Physical Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| David Donald Johanson | Physical Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Patrice L Stange | Occupational Therapy | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Neil Duane Jones | General Surgery | Carteret Surgical Associates Pa | 2145 Country Club Rd, Suite 800, Jacksonville, NC 28546-2400 |
| Find all physicians in zip 28546 | |||
| City | JACKSONVILLE |
| Zip Code | 28546 |
| Specialty | NEUROLOGY |
| City + Specialty | JACKSONVILLE + NEUROLOGY |
Please comment or provide details below to improve the information on Khaled F Jreisat.
| 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.