Jonathan A Flom (NPI# 1083618961, PAC ID# 9739153263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1083618961 |
PAC ID by PECOS | 9739153263 |
Professional Enrollment ID | I20040821000026 |
Full Name | Jonathan A Flom |
Organization Legal Name | BEHAVIORAL HEALTH CARE OF CAPE FEAR VALLEY HEALTH SYSTEM |
Address |
711 Executive Place Fayetteville NC 28305-5193 |
Phone Number | 9106153700 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 3678562949 |
Number of Group Practice Members | 25 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340028 | CAPE FEAR VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
711 Executive Place, Fayetteville, NC 28305-5193 | 9106153700 | BEHAVIORAL HEALTH CARE OF CAPE FEAR VALLEY HEALTH SYSTEM |
711 Executive Place, 3rd Floor, Fayetteville, NC 28305-5193 | 9106153700 | BEHAVIORAL HEALTH CARE OF CAPE FEAR VALLEY HEALTH SYSTEM |
Organization Legal Name | BEHAVIORAL HEALTH CARE OF CAPE FEAR VALLEY HEALTH SYSTEM |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ambrosia Spaulding | Clinical Social Worker | Behavioral Health Care of Cape Fear Valley Health System | 711 Executive Place, 3rd Floor, Fayetteville, NC 28305-5193 |
Street Address |
711 EXECUTIVE PLACE |
City | FAYETTEVILLE |
State | NC |
Zip | 28305-5193 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ambrosia Spaulding | Clinical Social Worker | Behavioral Health Care of Cape Fear Valley Health System | 711 Executive Place, 3rd Floor, Fayetteville, NC 28305-5193 |
Name | Specialty | Organization | Address |
---|---|---|---|
George C Pantelakos | Family Medicine | 1248 Fort Bragg Rd, Fayetteville, NC 28305-4728 | |
Cynthia J Hardwick | Psychologist, Clinical | 100 Parkview Ave, Fayetteville, NC 28305-4908 | |
David R Parker | Family Medicine | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
Sheri Couch | Nurse Practitioner | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
Ellen B Mclaurin | Nurse Practitioner | Village Family Care Center, P.a. | 1248 Fort Bragg Rd, Suite 200, Fayetteville, NC 28305-4982 |
David D Stewart | Internal Medicine | 114 Broadfoot Ave, Fayetteville, NC 28305-5002 | |
Deborah A Atkinson | Psychologist, Clinical | 1404 Raeford Rd, Fayetteville, NC 28305-5028 | |
Railee Johnson | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1310 Raeford Rd, Suite 4, Fayetteville, NC 28305-5086 |
Becky N Clark | Clinical Social Worker | Verna Dority Msw Ccsw Inc | 1310 Raeford Rd, Suite 3, Fayetteville, NC 28305-5086 |
Mei-chuan Wang | Psychologist, Clinical | 2525 Raeford Rd, Suite B, Fayetteville, NC 28305-5092 | |
Find all physicians in zip 28305 |
City | FAYETTEVILLE |
Zip Code | 28305 |
Specialty | PSYCHIATRY |
City + Specialty | FAYETTEVILLE + PSYCHIATRY |
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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.