2013-00232
Active
No
02/19/2013
02/15/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Bassiouni, Hisham Ibrahim
| Physician Assistant |
Active
|
01/18/2025
|
|
|
Delaney, Matthew Francis
| Physician Assistant |
Active
|
11/29/2022
|
|
|
Fogel, Michael Paul
| Physician Assistant |
Active
|
08/30/2023
|
|
|
Gambini, Justin Michael
| Physician Assistant |
Active
|
08/03/2021
|
|
|
Gumpert, Julia Anna Lyn
| Physician Assistant |
Active
|
10/12/2023
|
|
|
Kaczmarczyk, Marzena
| Physician Assistant |
Active
|
04/14/2024
|
|
|
Miley, Kathryn Lynn
| Nurse Practitioner |
Active
|
04/15/2024
|
|
|
Newton, Nikolas Bryan
| Physician Assistant |
Active
|
10/29/2020
|
|
|
Omair, Bushra
| Nurse Practitioner |
Active
|
04/12/2024
|
|
|
Palmer, Nathan Jeffrey
| Physician Assistant |
Active
|
09/20/2023
|
|
|
Randall, Tahlia Mae
| Physician Assistant |
Active
|
05/19/2026
|
|
|
Sproat, Adam Michael
| Physician Assistant |
Active
|
11/11/2025
|
|
|
Woodley, Elizabeth Univa
| Nurse Practitioner |
Active
|
03/21/2022
|
|
|
Zebulske, Morgan Locklear
| Physician Assistant |
Active
|
09/16/2020
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Central Carolina Hospital |
| ECU Health |
| Halifax Regional Medical Center, Inc. |
| Nash General Hospital |
Out of State Active/Inactive Licenses
| State |
| Georgia |
| Ohio |
| Pennsylvania |
Out of Country Active/Inactive Licenses
Address
Central Carolina Hospital
1135 Carthage Street
Sanford, NC 27330
919-774-2350
Information
Medical School
| School | Graduation |
| University of Nigeria College of Medicine | 2005 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| Thomas Jeffersons University Hospital | Other - Nephrology |
PA, US
| Fellowship | 2013 |
| Wright State University School of Medicine | Internal Medicine |
OH, US
| Residency | 2011 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Internal Medicine | 2022 |
| Nephrology | 2023 |
Area of Practice
| Area Of Practice | Primary |
| Hospitalist | Yes |
| Internal Medicine | |
| Internal Medicine - Nephrology | |
| Nephrology, Internal Medicine | |
Current Membership in Medical Professional Organizations
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |