CHARLOTTE MINIMALLY INVASIVE SURGICAL ASSOCIATES PLLC (NPI# 1033141817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033141817 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE MINIMALLY INVASIVE SURGICAL ASSOCIATES PLLC |
| Other Organization Name | THE CHARLOTTE COMPREHENSIVE WEIGHT MANAGEMENT CENTER |
| Practice Address |
330 Billingsley Road Suite 210 Charlotte NC 28211 |
| Practice Telephone | 7049400715 |
| Practice Fax Number | 7049400732 |
| Mailing Telephone | 7049400715 |
| Mailing Fax Number | 7049400732 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. OMAR K DANNER (PHYSICIAN OWNER) |
| Authorized Official Telephone | 7049400715 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5901378 | 05 |
| Other Name | Type Code |
|---|---|
| THE CHARLOTTE COMPREHENSIVE WEIGHT MANAGEMENT CENTER | Doing Business As Name - Organization |
| Street Address |
330 BILLINGSLEY ROAD SUITE 210 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942523337 | James E. Lemmons | Dentist | 330 Billingsley Road, Suite 204, Charlotte, NC 28211-1821 | 2010-03-12 |
| 1285819052 | James E Lemmons Dds Pa | Dentist | 330 Billingsley Road, Ste 204, Charlotte, NC 28211 | 2007-12-29 |
| 1649450487 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-11-09 |
| 1093995839 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| 1710167564 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| 1508055336 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-10-17 |
| 1144419979 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-10-17 |
| 1306910179 | David White Stroup | Dentist | 330 Billingsley Road, Suite 208, Charlotte, NC 28211-5020 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1871791301 | Kathryn Lorann Davis | Surgery | 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 | 2007-07-05 |
| 1164770913 | Surgical Specialists of Charlotte, Pa-mercy | Surgery | 2001 Vail Ave, Suite 320, Charlotte, NC 28207-1100 | 2012-08-28 |
| 1790033728 | Surgical Specialists of Charlotte, Pa-pineville | Surgery | 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 | 2012-08-23 |
| 1003164096 | Surgical Specialists of Charlotte-university | Surgery | 101 E Wt Harris Blvd, Suite 5103, Charlotte, NC 28262-3485 | 2012-08-22 |
| 1285929539 | Halim Yammine | Surgery | 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 | 2011-06-15 |
| 1750528758 | Hector Crespo Soto | Surgery | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2009-01-13 |
| 1356507230 | Charles Briggs | Surgery | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2008-07-31 |
| 1447454210 | Erin Murphy | Surgery | 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 | 2007-06-13 |
| 1891917431 | Peter Ford | Surgery | 7800 Providence Rd, Suite 209, Charlotte, NC 28226-2952 | 2007-05-03 |
| 1205938255 | Tzvi Nussbaum | Surgery | 1001 Blythe Blvd, Ste 300 - Cardiac Surgery, Charlotte, NC 28203-5866 | 2006-09-01 |
| Find all providers in CHARLOTTE | ||||
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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.