David Kishbaugh (NPI# 1053374157, PAC ID# 6608761481) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1053374157 |
| PAC ID by PECOS | 6608761481 |
| Professional Enrollment ID | I20040811001292 |
| Full Name | David Kishbaugh |
| Address |
2109 Valleygate Dr Suite 201 Fayetteville NC 28304-3571 |
| Gender | M |
| Credential | DO |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| 340115 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2109 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3571 |
| Street Address |
2109 VALLEYGATE DR SUITE 201 |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-3571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart Shelton | Obstetrics/gynecology | 2109 Valleygate Dr, Suite 103, Fayetteville, NC 28304-3571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | FAYETTEVILLE + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on David Kishbaugh.
| 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.