David A Ajibade (NPI# 1407050248, PAC ID# 4587819958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1407050248 |
| PAC ID by PECOS | 4587819958 |
| Professional Enrollment ID | I20170809003173 |
| Full Name | David A Ajibade |
| Organization Legal Name | COLUMBUS REGIONAL HEALTH NETWORK |
| Address |
14508 James B White Hwy S Tabor City NC 28463-8358 |
| Phone Number | 9106425832 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2005 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6608924931 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340068 | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 14508 James B White Hwy S, Tabor City, NC 28463-8358 | 9106425832 | COLUMBUS REGIONAL HEALTH NETWORK |
| 701 Jefferson St, Whiteville, NC 28472-3704 | 9106418625 | COLUMBUS REGIONAL HEALTH NETWORK |
| Organization Legal Name | COLUMBUS REGIONAL HEALTH NETWORK |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lehr | Urology | Columbus Regional Health Network | 720 Jefferson St, Whiteville, NC 28472-3706 |
| Stefani M Connel | Family Medicine | Columbus Regional Health Network | 14508 James B White Hwy S, Tabor City, NC 28463-8358 |
| Misty T Justus-baker | Physician Assistant | Columbus Regional Health Network | 14508 James B White S Hwy, Tabor City, NC 28463-8358 |
| Jeffrey A Clarke | Physician Assistant | Columbus Regional Health Network | 619 Jefferson St, Whiteville, NC 28472-3707 |
| Sabena A Johnson | Hospitalist | Columbus Regional Health Network | 500 Jefferson St, Whiteville, NC 28472-3634 |
| Marie Campbell | Nurse Practitioner | Columbus Regional Health Network | 500 Jefferson St, Whiteville, NC 28472-3634 |
| Emmauel T Osinuga | Hospitalist | Columbus Regional Health Network | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Alexander A Kotlarevsky | Hospitalist | Columbus Regional Health Network | 500 Jefferson St, Whiteville, NC 28472-3634 |
| Stephanie A Grotzke | Internal Medicine | Columbus Regional Health Network | 500 Jefferson St, Whiteville, NC 28472-3634 |
| Yvonne Wn Ngale | Endocrinology | Columbus Regional Health Network | 500 Jefferson St, Whiteville, NC 28472-3634 |
| Street Address |
14508 JAMES B WHITE HWY S |
| City | TABOR CITY |
| State | NC |
| Zip | 28463-8358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefani M Connel | Family Medicine | Columbus Regional Health Network | 14508 James B White Hwy S, Tabor City, NC 28463-8358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faith Beking | Nurse Practitioner | 706 E 5th St, Unit B, Tabor City, NC 28463-2335 | |
| Misty T Justus-baker | Physician Assistant | Columbus Regional Health Network | 14508 James B White S Hwy, Tabor City, NC 28463-8358 |
| Christy Turbeville Perdue | Family Medicine | Columbus Regional Health Network | 14508 James B White S Hwy, Tabor City, NC 28463-8358 |
| Peggy J Newman | Nurse Practitioner | Columbus Regional Health Network | 14508 James B White S Hwy, Tabor City, NC 28463-8358 |
| City | TABOR CITY |
| Zip Code | 28463 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | TABOR CITY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on David A Ajibade.
| 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.