PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS (NPI# 1003130493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003130493 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS |
| Other Organization Name | PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS |
| Practice Address |
1781 Tate Blvd Se Ste 203 Hickory NC 28602-4251 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7045123636 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | THOMAS LAYMON (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7044468250 |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC ENDOCRINOLOGY & DIABETES SPECIALISTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Endocrinology & Diabetes Specialists | Doing Business As Name - Organization |
| Pediatric Endocrinology & Diabetes Specialists | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346566361 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2010-04-15 |
| 1811211212 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 100 Medical Heights Dr, Morganton, NC 28655-5197 | 2010-03-15 |
| 1356665756 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 709 N Dekalb St, Shelby, NC 28150-3911 | 2010-03-15 |
| 1679582134 | Pediatric Endocrinology & Diabetes Specialists | Pediatrics | 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 | 2006-08-05 |
| Street Address |
1781 TATE BLVD SE STE 203 |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-4251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558350504 | Craig A. Greene | Pediatrics | 1781 Tate Blvd Se, Suite 203, Hickory, NC 28602-4251 | 2005-10-20 |
| 1194263087 | Dlp Frye Medical Group LLC | Obstetrics & Gynecology | 1781 Tate Blvd Se, Suite 201, Hickory, NC 28602-4251 | 2017-02-10 |
| 1922464213 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 1781 Tate Blvd Se, Ste 201, Hickory, NC 28602-4251 | 2016-01-03 |
| 1184045221 | Fryecare Women's Services, LLC | Obstetrics & Gynecology | 1781 Tate Blvd Se, Suite 201, Hickory, NC 28602-4251 | 2013-12-16 |
| 1235566829 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 1781 Tate Blvd Se, Hickory, NC 28602-4251 | 2013-09-27 |
| 1013351824 | S. Ross Penland Dmd Pa | Dentist | 1781 Tate Blvd Se, Hickory, NC 28602-4251 | 2013-04-23 |
| 1760742472 | Jessica Wiedey Tomberlin | Dentist | 1781 Tate Blvd Se, Suite 204, Hickory, NC 28602-4251 | 2012-05-29 |
| 1700177797 | Carolinas Medical Center | Pediatrics | 1781 Tate Blvd Se, Hickory, NC 28602-4251 | 2011-04-25 |
| 1033424270 | Cmc-northeast, Inc. | Psychiatry & Neurology | 1781 Tate Blvd Se, Carolinas Pediatric Neurology Care - Hickory, Hickory, NC 28602-4251 | 2010-08-12 |
| 1013232438 | Carolinas Physicians Network Inc | Pediatrics | 1781 Tate Blvd Se, Ste 203, Hickory, NC 28602-4251 | 2010-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073179867 | Novant Medical Group, Inc. | Pediatrics | 311 Coddle Market Dr Nw Ste 200, Concord, NC 28027-2432 | 2019-05-16 |
| 1124202114 | Jennifer Rachel Law | Pediatrics | 3341 Mbrb Cb 7039, University of North Carolina, Chapel Hill, NC 27599-0001 | 2007-12-26 |
| 1245443126 | Nina Jain | Pediatrics | Unc, Cb # 7039, 3341 Biomolecular (mbrb), Chapel Hill, NC 27599-0001 | 2007-05-08 |
| 1376696062 | Cmc-northeast, Inc | Pediatrics | 16623 Birkdale Cmns Pkwy, Suite 110, Ne Pediatric Endo, Huntersville, NC 28078-5621 | 2007-01-18 |
| 1801825914 | Lisa Houchin | Pediatrics | 4501 Cameron Valley Pkwy, Ste 200, Charlotte, NC 28211-4297 | 2006-07-01 |
| 1437141611 | Maria Janae Henwood-finley | Pediatrics | 2150 Herbert Ct, Ecu Pediatric Specialty Clinic, Greenville, NC 27834-3736 | 2005-08-16 |
| 1265097695 | Wakemed Specialists Group, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2019-05-01 |
| 1386164051 | Novant Medical Group, Inc | Pediatrics | 201 Queens Rd, Charlotte, NC 28204-3217 | 2017-06-23 |
| 1518378553 | Wake Specialty Physicians, LLC | Pediatrics | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-05-13 |
| 1902233380 | The Charlotte-mecklenburg Hospital Authority | Pediatrics | 9625 Northcross Center Ct, Ste 102c, Huntersville, NC 28078-7348 | 2013-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.