Dwight Koeberl

Pediatrics | Male

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Complete Profile:

Dwight Koeberl basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Dwight Koeberl
Gender :	Male

Business Address:

Dwight Koeberl address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2100 Erwin Rd Durham, NC, 27710-0001 United States
Phone Number :	919-620-4467

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1023192184
NPI Entity Type :	Individual
First Enrolment Date :	25 Oct, 2006
Last Updated On :	01 Jun, 2012

Medicare Participation:

Dwight Koeberl participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4183810708
Medicare Enrollment ID :	I20101122001062
Primary Specialty :	Pediatric Medicine
Medical School :	Mayo Medical School
Graduation Year :	1990
Accepts Medicare?	Yes. Dwight Koeberl accepts medicare insurance.

Group Practice Association:

Dwight Koeberl is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dwight Koeberl is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Private Diagnostic Clinic, Pllc	1355254368	2345	300 Meadowmont Village Cir Suite 311 Chapel Hill, NC - 275177518 Ph: 9199678052	Yes
Private Diagnostic Clinic, Pllc	1355254368	2345	Harris Smith Ob/gyn 3000 Meadowmont Village Circle Suite 311 Chapel Hill, NC - 275177518 Ph: 9199678052	Yes
Private Diagnostic Clinic, Pllc	1355254368	2345	3000 Erwin Rd Durham, NC - 277054504 Ph: 9196848111	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dwight Koeberl are as mentioned. Primary taxonomy code for Dwight Koeberl is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	99-00275	NC

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	2100 Erwin Rd, Duke University Medical Center - Dumc 3528 Durham, NC, 27710-0001 United States

Business Location:

Patients can refer following map for directions to Dwight Koeberl practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.