MONA WALID SHABAN (NPI# 1053758714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053758714 |
| Entity Type | Individual |
| Full Name | MONA WALID SHABAN |
| Credential | MD |
| Practice Address |
433 Copperfield Blvd Ne Concord NC 28025-2405 |
| Mailing Address |
1300 Baxter St Ste 215 Charlotte NC 28204-3801 |
| Practice Telephone | 7047867770 |
| Mailing Telephone | 7047316949 |
| Mailing Fax Number | 7049710035 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2016-01797 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
433 COPPERFIELD BLVD NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550440 | John Stephen Gerig | Internal Medicine | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2005-07-05 |
| 1518253251 | Tina Marie Kelly | Nurse Practitioner | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2011-06-21 |
| 1750549721 | Mehul Balubhai Patel | Internal Medicine | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2008-05-27 |
| 1902900301 | Charles Edward Stoddard IIi | Internal Medicine | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2006-09-07 |
| 1043223977 | Ernest F Johnson IIi | Internal Medicine | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2006-08-14 |
| 1508863465 | Rebecca O Morton | Nurse Practitioner | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2005-07-06 |
| 1073510046 | Nathan Ashley Woolwine | Internal Medicine | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2005-07-05 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497922439 | Harald Sinclair Mackenzie | Internal Medicine | 422b Monument St, Concord, MA 01742-1810 | 2008-05-09 |
| 1033300132 | Thomas Russell Beck | Internal Medicine | 345 Silyen Hill Rd., Concord, MA 01742 | 2007-08-05 |
| 1679619092 | Edward T Kim | Internal Medicine | 2222 East St Ste 305, Concord, CA 94520-2066 | 2007-01-30 |
| 1629094560 | Sarah Elizabeth Woon | Internal Medicine | 2485 High School Ave Ste 311, Concord, CA 94520-1814 | 2006-07-14 |
| 1679574693 | Leena S Ray | Internal Medicine | 2222 East Street, Ste 305, Concord, CA 94520-2066 | 2005-08-02 |
| 1477550440 | John Stephen Gerig | Internal Medicine | 433 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2005-07-05 |
| 1952914681 | West Coast Kidney | Internal Medicine | 2222 East St Ste 305, Concord, CA 94520-2066 | 2020-08-24 |
| 1114345006 | Jason Law | Internal Medicine | 2222 East St Ste 305, Concord, CA 94520-2066 | 2014-03-29 |
| 1841521275 | Central Carolina Access Center | Internal Medicine | 425 Copperfield Blvd Ne, Concord, NC 28025-2405 | 2010-01-25 |
| 1578767273 | Pacific Nephrology Medical Corporation | Internal Medicine | 2485 High School Ave, Suite 311, Concord, CA 94520-1814 | 2007-06-14 |
| Find all providers in CONCORD | ||||
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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.