David Lee Factor


Address: 200 Hospital Ave, Jefferson, NC 28640-9244

David Lee Factor (NPI# 1518940147, PAC ID# 8820997026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1518940147
PAC ID by PECOS 8820997026
Professional Enrollment ID I20040409000600
Full Name David Lee Factor
Address 200 Hospital Ave
Jefferson
NC 28640-9244
Gender M
Credential MD
Medical School RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year 1989
Primary Specialty DIAGNOSTIC RADIOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
341325 ASHE MEMORIAL HOSPITAL
100290 VILLAGES REGIONAL HOSPITAL, THE
100084 LEESBURG REGIONAL MEDICAL CENTER
340014 NOVANT HEALTH FORSYTH MEDICAL CENTER
340047 NORTH CAROLINA BAPTIST HOSPITAL

Other Locations

Address Phone Organization
200 Hospital Ave, Jefferson, NC 28640-9244
801 E Dixie Ave, Suite 104, Leesburg, FL 34748-7601 3527875858 LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC
801 E Dixie Ave, Suite 104, Leesburg, FL 34748-7601 RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA LLC
1400 Us Hwy 441 N, Suite 510, The Villages, FL 32159-8975 3527875858 LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 100%

Organization Information

Office Location

Street Address 200 HOSPITAL AVE
City JEFFERSON
State NC
Zip 28640-9244

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Name Specialty Organization Address
Gaurav R Shah Nephrology Martin Memorial Physicians Corporation 200 Hospital Ave, Stuart, FL 34994-2346
Lisa Trabucco Nurse Practitioner Martin Memorial Physicians Corporation 200 Hospital Ave, Stuart, FL 34994-2338
George E Wadsworth Nurse Practitioner Martin Memorial Physicians Corporation 200 Hospital Ave, Stuart, FL 34994-2338
Priya V Negandhi Internal Medicine Martin Memorial Physicians Corporation 200 Hospital Ave, Stuart, FL 34994-2338
Ankush K Bansal Internal Medicine Martin Memorial Physicians Corporation 200 Hospital Ave, Stuart, FL 34994-2346
Resham Khilnani Nephrology Martin Memorial Physicians Corporation 200 Hospital Ave, Stuart, FL 34994-2346
Aaron M Reames Physician Assistant Martin Memorial Physicians Corporation 200 Hospital Ave, Stuart, FL 34994-2346
Katherine A Averill Obstetrics/gynecology Ashe Financial Services LLC 200 Hospital Ave, Suite 3, Jefferson, NC 28640-9244
Sharon Patricia Dilley Internal Medicine Ashe Financial Services LLC 200 Hospital Ave, Jefferson, NC 28640-9244
Mark A Kuzich Critical Care (intensivists) Martin Memorial Physicians Corporation 200 Hospital Ave, Stuart, FL 34994-2338
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Physicians in the same zip code

Name Specialty Organization Address
Nicolas Cameron Physical Therapy Schuster Physical Therapy Inc 419 E Main St, Jefferson, NC 28640-8984
Molly B Reynolds Physical Therapy Schuster Physical Therapy Inc 419 E Main St, Jefferson, NC 28640-8984
Emily C Wilson Physical Therapy Schuster Physical Therapy Inc 419 E Main St, Jefferson, NC 28640-8984
Tracy-lynn Schuster Physical Therapy Schuster Physical Therapy Inc 419 E Main St, Jefferson, NC 28640-8984
George E Fleming Jr. Emergency Medicine Jefferson Emergency Services Pllc 200 Hospital Ave, Jefferson, NC 28640-9244
Ronald W Benfield Orthopedic Surgery Ashe Financial Services LLC 200 Hospital Ave, Suite 3, Jefferson, NC 28640-9244
Khurram B Tariq Internal Medicine Watauga Medical Center Inc 200 Hospital Ave, Jefferson, NC 28640-9244
Ian Welliver Physician Assistant Ashe Financial Services LLC 200 Hospital Ave, Jefferson, NC 28640-9244
Sebrina H Phillips Nurse Practitioner Charles W Jones Md Pa 200 Hospital Ave, Suite 5, Jefferson, NC 28640-9244
Cathy G Clark Nurse Practitioner Ashe Memorial Hospital Inc 200 Hospital Ave, Jefferson, NC 28640-9244
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Competitor

Search similar physicians

City JEFFERSON
Zip Code 28640
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty JEFFERSON + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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