Dr. Derek Tyler Pantiel
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
4113 Oleander Dr Ste G
Wilmington
, North Carolina 28403-6840
Dr. Derek Tyler Pantiel
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
4113 Oleander Dr Ste G
Wilmington
, North Carolina 28403-6840
(910) 791-1300
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Derek Tyler Pantiel
- 4113 Oleander Dr Ste G
- Wilmington, NC
- Zip : 28403-6840
- Phone : (910) 791-1300
Second Address
- Dr. Derek Tyler Pantiel
- 4113 Oleander Dr Ste G
- Wilmington, NC
- Zip : 28403-6840
- Phone : (910) 791-1300
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Is Dr. Derek Tyler Pantiel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 606 | NC |
| N | 213ES0103X | Foot & Ankle Surgery | 606 | NC |
| N | 213ES0131X | Foot Surgery | 606 | NC |
National Provider Identifier
| NPI | 1528353638 |
|---|---|
| Provider Name | Dr. Derek Tyler Pantiel |
| First Address | Wilmington, NC 28403-6840 |
| Second Address | Wilmington, NC 28403-6840 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2011 |
| Last Update Date | 18/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.