Nancy L Centofante, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

198493 Issued in NC

Practice address

1706 Medical Park Dr W
Wilson, NC 27893-2705

Phone

(252) 243-3223

Fax

(252) 243-3668

NPI assigned

Apr 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Nancy L Clemons Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16884/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gene R. Glover, DDS, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilson, NC
  • NPI 1386851632
  NPD (past)
• Reebye Park & Richman DDS PLC

  • Dentist
  • Wilson, NC
  • NPI 1669892725
  NPD (past)
• Chesapeake Anesthesiology and Pain Management Physicians LLC

  • Anesthesiology Physician
  • Chestertown, MD
  • NPI 1275590036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1992762777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932705",
            "telephone_number": "410-708-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932705",
            "telephone_number": "252-243-3223",
            "fax_number": "252-243-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTOFANTE",
        "first_name": "NANCY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "198493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "68639503",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC NCA",
            "identifier": "F2320002",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "397641600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "CLEMONS",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cat Group LLC
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• Chad William Cato, D.C.
• Kymberly Causby, PHARMD
• Emil J Cekada, M.D.
• Susan Chang, DMD
• Abrahan Chaparro, MD
• Daryl Rowe Chapman, DC
• Charles R Disdier DDS PA
• Chatterbox LLC

• Anesthesiology Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.