HADEN JOSEF TOBOLA
NPI 1932903663
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 02, 2025PECOS Enrolled

2131 S 17TH ST, WILMINGTON, NC 28401(910) 343-7000(910) 667-5650 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Haden Josef Tobola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HADEN JOSEF TOBOLA (NPI 1932903663) is an individual student in an organized health care education/training program in Wilmington, North Carolina and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932903663

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHADEN JOSEF TOBOLA

Location Address2131 S 17TH STWilmington, NC 28401-7407

Mailing Address2131 S 17th StWilmington, NC 28401-7407 · (910) 343-7000 · Fax (910) 667-5650

Phone(910) 343-7000

Fax(910) 667-5650

Sole ProprietorYes

Enumeration DateApril 2, 2025

NPPES CertifiedApril 2, 2025

✔ NPI 1932903663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2131 S 17TH ST, Wilmington, NC 28401

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haden Josef Tobola is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.