Rudo Gwanzura (NPI# 1316154685, PAC ID# 7911043476) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316154685 |
| PAC ID by PECOS | 7911043476 |
| Professional Enrollment ID | I20091014000217 |
| Full Name | Rudo Gwanzura |
| Organization Legal Name | EAST CAROLINA HEALTH-BERTIE |
| Address |
1403 S King St Windsor NC 27983-0509 |
| Phone Number | 2527946750 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 1355251661 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340151 | HALIFAX REGIONAL MEDICAL CENTER INC |
| 341304 | VIDANT BERTIE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2525358869 | ROANOKE VALLEY HEALTH SERVICES INC |
| 1403 S King St, Windsor, NC 27983-0509 | 2527946750 | EAST CAROLINA HEALTH-BERTIE |
| 1403 S King St, Windsor, NC 27983-9666 | EAST CAROLINA HEALTH-BERTIE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 94% |
| Organization Legal Name | EAST CAROLINA HEALTH-BERTIE |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas C Keith | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Teddie W Gore | Nurse Practitioner | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-0509 |
| Mark S Worthen | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Phillip G Harris | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-0509 |
| Billie J Threlkeld | Emergency Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Street Address |
1403 S KING ST |
| City | WINDSOR |
| State | NC |
| Zip | 27983-0509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas C Keith | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Teddie W Gore | Nurse Practitioner | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-0509 |
| Brian Patrick Lowry | Emergency Medicine | Vidant Medical Group LLC | 1403 S King St, Windsor, NC 27983-9666 |
| Mark S Worthen | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Phillip G Harris | Family Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-0509 |
| Billie J Threlkeld | Emergency Medicine | East Carolina Health-bertie | 1403 S King St, Windsor, NC 27983-9666 |
| Anthony J Frank Jr. | Emergency Medicine | Vidant Medical Group LLC | 1403 S King St, Windsor, NC 27983-9666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kareen Binion-brown | Physician Assistant | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Deborah Stokely | Nurse Practitioner | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Deanna Moore | Nurse Practitioner | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Ricky Brooks | Obstetrics/gynecology | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Gilbert D Arenas | Family Medicine | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Sherry B Brown | Family Practice | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| Charlanna Speights | Family Practice | Bertie County Rural Health Association | 104 Rhodes Ave, Windsor, NC 27983-9656 |
| City | WINDSOR |
| Zip Code | 27983 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WINDSOR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rudo Gwanzura.
| 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.