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CELIA B ENTWISTLE MD NPI 1407806110


NPI Information

NPI: 1407806110
Provider Name: CELIA B ENTWISTLE, MD
Classification: Preventive Medicine - 2083P0011X
Entity Type: Individual

Specialization: Undersea and Hyperbaric Medicine

PECOS Registration: Yes

Address:
200 MEDICAL PARK DR STE 400
CONCORD, NC
ZIP 28025
Phone: (704) 786-1108
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Celia B Entwistle, MD is an undersea and hyperbaric medicine preventive medicine in Concord, NC. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. Celia B Entwistle, MD NPI is 1407806110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 MEDICAL PARK DR STE 400
CONCORD, NC
ZIP 28025-939
Phone: (704) 786-1108
Fax: (704) 782-1826

The NPI 1407806110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 10/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine36179NORTH CAROLINANo
22083P0011XPreventive MedicineUndersea and Hyperbaric Medicine36179NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189-30701MEDICAIDNORTH CAROLINA
2930095201OTHERNORTH CAROLINARR MEDICARE
3N36179MEDICAIDSOUTH CAROLINA
4046910802MEDICAIDTEXAS
530701OTHERNORTH CAROLINABCBSNC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.