Philip C Vandongen (NPI# 1982602157, PAC ID# 6103969811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1982602157 |
| PAC ID by PECOS | 6103969811 |
| Professional Enrollment ID | I20130131000177 |
| Full Name | Philip C Vandongen |
| Organization Legal Name | VIDANT MEDICAL GROUP LLC |
| Address |
201 Virginia Rd Edenton NC 27932-9668 |
| Phone Number | 2524822116 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0345343893 |
| Number of Group Practice Members | 570 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 341318 | VIDANT CHOWAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Virginia Rd, Edenton, NC 27932-9668 | 2524822116 | VIDANT MEDICAL GROUP LLC |
| 211 Virginia Rd, Edenton, NC 27932-9668 | 2524826219 | VIDANT MEDICAL GROUP LLC |
| 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 |
| 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 |
201 VIRGINIA RD |
| City | EDENTON |
| State | NC |
| Zip | 27932-9668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon M Peters | Family Medicine | Vidant Medical Group LLC | 201 Virginia Rd, Edenton, NC 27932-9668 |
| Rachel E Ferrell | Nurse Practitioner | Vidant Medical Group LLC | 201 Virginia Rd, Edenton, NC 27932-9668 |
| Samuel Lev Moskowitz | Family Medicine | Vidant Medical Group LLC | 201 Virginia Rd, Edenton, NC 27932-9668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer F Brown | Nurse Practitioner | Albemarle Urgent Care Inc | 709 N Broad St, Edenton, NC 27932-1111 |
| James F Cranford Jr. | Chiropractic | 701 N Broad St, Chowan Chiropractic Clinic, Edenton, NC 27932-1430 | |
| Matthew L Parker | Nurse Practitioner | Vidant Medical Group LLC | 113 Virginia Rd, Edenton, NC 27932-1446 |
| Stephen P Benkusky | Optometry | 111 Virginia Rd, Edenton, NC 27932-1446 | |
| Carroll Bracey Robertson Iii | Family Medicine | Vidant Medical Group LLC | 104 Mark Dr, Edenton, NC 27932-1756 |
| Obie Ramsay | Rheumatology | Vidant Medical Group LLC | 104 Mark Dr, Edenton, NC 27932-1756 |
| John Stafford Taylor | Internal Medicine | Vidant Medical Group LLC | 105 Mark Dr, Edenton, NC 27932-1777 |
| William S Blakemore | Ophthalmology | Albemarle Eye Center, Pllc | 101 Mark Dr, Edenton, NC 27932-1778 |
| Karen Parrish Huey | Certified Nurse Midwife (cnm) | Vidant Medical Group LLC | 309 N Broad St, Edenton, NC 27932-1925 |
| Julane C Belcher | Nurse Practitioner | Vidant Medical Group LLC | 309 N Broad St, Edenton, NC 27932-1925 |
| Find all physicians in zip 27932 | |||
| City | EDENTON |
| Zip Code | 27932 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | EDENTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Philip C Vandongen.
| 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.