Provider Demographics
NPI:1356311435
Name:PASCHOLD, EUGENE HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:HENRY
Last Name:PASCHOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 60516
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0516
Mailing Address - Country:US
Mailing Address - Phone:336-249-6632
Mailing Address - Fax:336-249-7453
Practice Address - Street 1:3333 SILAS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3013
Practice Address - Country:US
Practice Address - Phone:336-277-8800
Practice Address - Fax:336-277-8850
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC23637207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
29080OtherMEDCOST
3098200OtherAETNA HMO
NC65760OtherBLUE CROSS BLUE SHIELD
NC8965760Medicaid
NC203OtherPARTNERS NATIONAL HEALTH
3603474OtherUNITED HEALTHCARE
830008753OtherRAILROAD MEDICARE
VA006005462Medicaid
4098339OtherAETNA PPO
4098339OtherAETNA PPO
C85906Medicare UPIN
NC209430CMedicare PIN