JACQUELINE TRACEY (NPI# 1013136415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013136415 |
| Entity Type | Individual |
| Full Name | JACQUELINE TRACEY |
| Practice Address |
200 Medical Park Dr Suite 430 Concord NC 28025-2982 |
| Mailing Address |
200 Medical Park Drive Concord NC 28025 |
| Practice Telephone | 7044037070 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2015-01537 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669917811 | Jacqueline Tracey | Nurse's Aide | 167 North Main Street, Tuba City, AZ 86045-0600 | 2016-12-27 |
| Street Address |
200 MEDICAL PARK DR SUITE 430 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245040 | Myron Roddenberry | Physician Assistant | 200 Medical Park Dr, Suite 230, Concord, NC 28025-2982 | 2005-06-17 |
| 1679183776 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 200 Medical Park Dr, Ste 500, Concord, NC 28025-2982 | 2020-08-04 |
| 1518577832 | Leah Mccain | Nurse Practitioner | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2020-08-01 |
| 1477198091 | Ryan Cannici | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2019-11-07 |
| 1881159341 | Jessica Surane | Physician Assistant | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2019-02-08 |
| 1740756253 | Samantha Mason | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2018-10-23 |
| 1700361466 | Montana Poe | Nurse Practitioner | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2018-09-28 |
| 1932695574 | Stephanie White | Nurse Practitioner | 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 | 2018-07-06 |
| 1487185534 | Mukunda Singh | Internal Medicine | 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 | 2017-03-21 |
| 1497207641 | Jessica Marchal | Physician Assistant | 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 | 2016-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306149174 | Burton H Baker Md A Medical Corporation | Surgery | 2425 East St Ste 18, Concord, CA 94520-1926 | 2010-12-16 |
| 1518291830 | Jane I-chen Tsao | Surgery | 1 Wright Farm, Concord, MA 01742-1529 | 2009-09-21 |
| 1700906484 | Burton Albert Nault | Surgery | 21 S Fruit St, Concord, NH 03301-2428 | 2007-03-29 |
| 1811025471 | Mauricio Kuri | Surgery | 2485 High School Ave Ste 222, Concord, CA 94520-1813 | 2007-03-02 |
| 1659440063 | Rolf G Sommerhaug M.d., Professional Corporation | Surgery | 2485 High School Ave., Suite 312, Concord, CA 94520 | 2006-11-07 |
| 1124103692 | Burton Herbert Baker | Surgery | 2425 East St., #18, Concord, CA 94520 | 2006-10-25 |
| 1306926357 | Andreas Kamlot Md, A Medical Corportation | Surgery | 2485 High School Ave Ste 312, Concord, CA 94520-1814 | 2006-10-16 |
| 1215993639 | Carolina Weight Loss Surgery | Surgery | 1090 Vinehaven Dr, Concord, NC 28025-2438 | 2006-04-25 |
| 1659335685 | Roc Bauman | Surgery | 1090 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2006-04-14 |
| 1174522098 | Seymour A Dimare | Surgery | 133 Ornac, Emerson Hospital, Concord, MA 01742-4159 | 2005-07-21 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on JACQUELINE TRACEY.
| 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.