Dieter T Wefuan (NPI# 1073834917, PAC ID# 5193048429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1073834917 |
| PAC ID by PECOS | 5193048429 |
| Professional Enrollment ID | I20141217002533 |
| Full Name | Dieter T Wefuan |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Address |
401 N Main St Kenansville NC 28349-8801 |
| Phone Number | 9102962815 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE, PEDIATRIC MEDICINE |
| Group Practice PAC ID | 0345343893 |
| Number of Group Practice Members | 650 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340120 | VIDANT DUPLIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 401 N Main St, Kenansville, NC 28349-8801 | 9102962815 | VIDANT MEDICAL GROUP LLC |
| 417 N Main St B, Kenansville, NC 28349-8801 | 9102750027 | VIDANT MEDICAL GROUP LLC |
| 1444 S 17th St, Wilmington, NC 28401-6436 | 9107934311 | ANJAN MEDICAL MANAGEMENT PLLC |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Physicians | 658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Peach | Radiation Oncology | Vidant Medical Group LLC | 1209 Brown St, Washington, NC 27889-4671 |
| Charnissa Nicole Batts | Nurse Practitioner | Vidant Medical Group LLC | 1308 Highland Dr, Washington, NC 27889-3424 |
| Lashaunda Brown | Clinical Social Worker | Vidant Medical Group LLC | 210 W Liberty St, Williamston, NC 27892-1712 |
| Deebah A Uddin | Internal Medicine | Vidant Medical Group LLC | 111 Hospital Dr, Tarboro, NC 27886-2011 |
| Madeline Winslow | Nurse Practitioner | Vidant Medical Group LLC | 1124 Harvey Point Rd, Hertford, NC 27944-9767 |
| Deepti Ananthula | Internal Medicine | Vidant Medical Group LLC | 1380 Cowell Farm Rd, Washington, NC 27889-3431 |
| Seetharamprasad Madala | Internal Medicine | Vidant Medical Group LLC | 500 Academy St S, Vidant Roanoke Chowan Hospitalists, Ahoskie, NC 27910-3248 |
| John P Mcgee | Family Medicine | Vidant Medical Group LLC | 2450 Emerald Pl, Vidant Family Medicine Greenville, Greenville, NC 27834-5784 |
| Judith Tate Smithwick | Nurse Practitioner | Vidant Medical Group LLC | 1210 N Brown St, Vidant Womens Care Washington, Washington, NC 27889-4671 |
| David A Konzem | Physician Assistant | Vidant Medical Group LLC | 417 N Main St B, Kenansville, NC 28349-8801 |
| Street Address |
401 N MAIN ST |
| City | KENANSVILLE |
| State | NC |
| Zip | 28349-8801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Mckenzie-solis | Nurse Practitioner | Vidant Medical Group LLC | 401 N Main St, Kenansville, NC 28349-8801 |
| Jason Patacsil | Certified Registered Nurse Anesthetist (crna) | Duplin General Hospital Incorporated | 401 N Main St, Kenansville, NC 28349-8684 |
| Kishore Roy Chowdhury | Internal Medicine | Vidant Medical Group LLC | 401 N Main St, Kenansville, NC 28349-8801 |
| Michelle M Stephens | Nurse Practitioner | Osf Multi-specialty Group | 401 N Main St, Roanoke, IL 61561-7585 |
| Robert Hosea | Otolaryngology | Kinston Head and Neck Physicians and Surgeons Pa | 401 N Main St, Fl 2, Kenansville, NC 28349-8801 |
| Amber M Barron | Nurse Practitioner | Vidant Medical Group LLC | 401 N Main St, Kenansville, NC 28349-8801 |
| Edward Nandlal Rampersaud Jr. | Urology | Vidant Medical Group LLC | 401 N Main St, Kenansville, NC 28349-8801 |
| Vincent K Cheek | Family Medicine | Vidant Medical Group LLC | 401 N Main St, Kenansville, NC 28349-8801 |
| Nichole Bellfy | Clinical Social Worker | 401 N Main St, Onsted, MI 49265-9436 | |
| Michael Robert Koerner | Orthopedic Surgery | Vidant Medical Group LLC | 401 N Main St, Kenansville, NC 28349-8801 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Ann Presley | Nurse Practitioner | Med First Immediate Care and Family Practice Pa | 275 N Nc24 and 50 Hwy, Kenansville, NC 28349-0148 |
| Travis L Reeves | Physician Assistant | Med First Immediate Care and Family Practice, Pa | 275 N Nc24 and 50 Hwy, Kenansville, NC 28349-0148 |
| Chad M Anderson | Chiropractic | 102 N Main St, Suite 3, Kenansville, NC 28349-0454 | |
| Tammi C Roos | Anesthesiology | Duplin General Hospital Incorporated | 401 N Main St, Kenansville, NC 28349-8684 |
| Anthony Jaesun Chung | Anesthesiology | Duplin General Hospital Incorporated | 401 N Main St, Kenansville, NC 28349-8684 |
| Kathryn P King | Anesthesiology | Duplin General Hospital Incorporated | 401 N Main St, Kenansville, NC 28349-8684 |
| Ramon L Medina | Certified Registered Nurse Anesthetist | Duplin General Hospital Incorporated | 401 N Main St, Kenansville, NC 28349-8684 |
| Kevin J Michel | Certified Registered Nurse Anesthetist | Duplin General Hospital Incorporated | 401 N Main St, Crna Group, Kenansville, NC 28349-8684 |
| Kedrin N Hodges | Certified Registered Nurse Anesthetist | Duplin General Hospital Incorporated | 401 N Main St, Kenansville, NC 28349-8684 |
| Peter R Watson | Medical Oncology | Vidant Medical Group LLC | 226 Magnolia Ext, Kenansville, NC 28349-8687 |
| Find all physicians in zip 28349 | |||
| City | KENANSVILLE |
| Zip Code | 28349 |
| Specialty | HOSPITALIST |
| City + Specialty | KENANSVILLE + HOSPITALIST |
Please comment or provide details below to improve the information on Dieter T Wefuan.
| 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.