DR. PAUL R STEADMAN (NPI# 1033480462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033480462 |
| Entity Type | Individual |
| Full Name | DR. PAUL R STEADMAN |
| Credential | M.D. |
| Practice Address |
10512 Park Rd Suite 111 Charlotte NC 28210-8475 |
| Mailing Address |
5064 Crofton Dr Fort Mill SC 29715-5814 |
| Practice Telephone | 7049108380 |
| Practice Fax Number | 7048179980 |
| Mailing Telephone | 7045752729 |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2013-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 9701159 | NC | Allopathic & Osteopathic Physicians |
| N | 202K00000X | Phlebology | 9701159 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
10512 PARK RD SUITE 111 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184614448 | David N Ugland | Ophthalmology | 10512 Park Rd, Suite 200, Charlotte, NC 28210-8475 | 2005-10-26 |
| 1326414137 | Tammy Faw-severeide | Nurse Practitioner | 10512 Park Rd, Ste 101, Charlotte, NC 28210-8473 | 2015-08-16 |
| 1801289913 | Amanda Linch Dmd & Michael Reimels Dds Pllc | Dentist | 10512 Park Rd, Suite 100, Charlotte, NC 28210-8475 | 2015-03-13 |
| 1184961435 | Kirstyn Lee Vega | Physician Assistant | 10512 Park Rd, Suite 113, Charlotte, NC 28210-8475 | 2013-01-07 |
| 1790033728 | Surgical Specialists of Charlotte, Pa-pineville | Surgery | 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 | 2012-08-23 |
| 1912278623 | Laurie Lizbeth James | Specialist/Technologist | 10512 Park Rd, Suite 209, Charlotte, NC 28210-8475 | 2012-01-26 |
| 1194001545 | Amanda Maria Holt | Nurse Practitioner | 10512 Park Rd, Suite 210, Charlotte, NC 28210-8475 | 2011-10-31 |
| 1144524190 | South Charlotte General and Vascular Surgery Pllc | Surgery | 10512 Park Rd, Suite 111, Charlotte, NC 28210-8475 | 2011-01-05 |
| 1700110814 | Rachelle M. Eiden | Physician Assistant | 10512 Park Rd, Suite 101, Charlotte, NC 28210-8475 | 2009-09-22 |
| 1356583678 | Cristine Mattis | Nurse Practitioner | 10512 Park Rd, Suite # 113, Charlotte, NC 28210-8475 | 2009-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1053953125 | Emergent Life Integrative Medicine Center, Inc | General Practice | 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 | 2019-10-10 |
| 1780189902 | Izadora Izidoro Diehl | General Practice | 5128 Silabert Ave, Charlotte, NC 28205-7863 | 2018-03-28 |
| 1851799696 | Hak Jin Kim | General Practice | 2095 Brunswick Place, Charlotte, MI 48813-9751 | 2014-12-10 |
| 1992055941 | Healthworks Med Group of North Carolina P C | General Practice | 2605 Water Ridge Pkwy, Suite 100, Charlotte, NC 28217-4565 | 2012-09-18 |
| 1811296494 | Rene Chike Anikwue | General Practice | 5109 Monroe Rd Ste E, Charlotte, NC 28205-7878 | 2011-03-21 |
| 1235433723 | David Joseph Pasek | General Practice | 9216 Forest Manor Ct, Charlotte, NC 28215-9705 | 2010-12-27 |
| 1053625574 | Chs North Carolina Medical, P.C. | General Practice | 7201 Hewitt Associates Dr, Ste 500, Charlotte, NC 28262-4001 | 2010-07-27 |
| 1255587903 | Stuart Lee Schnider | General Practice | 3220 Latrobe Dr, Charlotte, NC 28211-4845 | 2008-08-13 |
| 1235184813 | Health-pro Mental Health Services Pllc | General Practice | 6700 Fairview Rd, Suite 420, Charlotte, NC 28210-3324 | 2006-05-23 |
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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.