GASTONIA PHYSICIAN SERVICES, PLLC (NPI# 1063948008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063948008 |
| Entity Type | Organization |
| Organization Name | GASTONIA PHYSICIAN SERVICES, PLLC |
| Practice Address |
420 N Center St Hickory NC 28601-5033 |
| Mailing Address |
5665 New Northside Dr Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 8283155000 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | MR. CHRISTOPHER BRIAN DURHAM (PRESIDENT) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023416708 | Gastonia Physician Services, Pllc | Emergency Medicine | 451 East Charlotte Avenue, Mount Holly, NC 28120-2211 | 2014-12-12 |
| 1316367691 | Gastonia Physician Services, Pllc | Emergency Medicine | 2525 Court Dr, Gastonia, NC 28054-2140 | 2014-04-24 |
| Street Address |
420 N CENTER ST |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-5033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214605 | Shana Barkes | Speech-Language Pathologist | 420 N Center St, Hickory, NC 28601-5033 | 2020-11-01 |
| 1689294795 | Kimberly Anette Crotts | Radiologic Technologist | 420 N Center St, Hickory, NC 28601-5033 | 2020-04-18 |
| 1881229508 | John Paul Colosi | Nurse Practitioner | 420 N Center St, Hickory, NC 28601-5033 | 2020-03-04 |
| 1043876725 | Hunter Atkinson Hardaway | Physician Assistant | 420 N Center St, Hickory, NC 28601-5033 | 2019-05-17 |
| 1346736808 | Kevin Lee Lum | Registered Nurse | 420 N Center St, Hickory, NC 28601-5033 | 2018-07-09 |
| 1871084293 | John Charles Flowe | Nurse Anesthetist, Certified Registered | 420 N Center St, Hickory, NC 28601-5033 | 2018-05-21 |
| 1659891109 | Mohammad Khan | Internal Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2017-06-26 |
| 1003342031 | Frye Group Services, Pllc | Hospitalist | 420 N Center St, Hickory, NC 28601-5033 | 2017-05-11 |
| 1790133171 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2016-05-26 |
| 1942551577 | U.n.h.s. Carolina Hospital Authority | Clinic/Center | 420 N Center St, Suite 2023806660, Hickory, NC 28601-5033 | 2012-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518087873 | Keith Allen Raymond | Emergency Medicine | 4830 Glen Hollow Ln Ne, Hickory, NC 28601-8738 | 2007-03-30 |
| 1235659707 | Dlp Hickory Family Practice Associates LLC | Emergency Medicine | 52 12th Ave Ne, Hickory, NC 28601-2798 | 2017-06-26 |
| 1922539238 | Phoebe Glazer | Emergency Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2017-03-27 |
| 1528463213 | Catawba Valley Medical Group,inc | Emergency Medicine | 2972 N Center St, Hickory, NC 28601-1159 | 2014-10-24 |
| 1265842892 | Stephen Lee Powell | Emergency Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2014-05-05 |
| 1104261593 | Christopher Peluso | Emergency Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2013-04-30 |
| 1558565358 | Kevin Patrick Carmen | Emergency Medicine | 1109 2nd Ave Sw, Hickory, NC 28602-2545 | 2007-06-14 |
| 1780612077 | Johnny S Gomes | Emergency Medicine | 420 N Center St, Hickory, NC 28601-5046 | 2006-06-28 |
| 1154364644 | Steven G Williamson | Emergency Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602 | 2006-06-13 |
| 1568405041 | Jon A Giometti | Emergency Medicine | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2006-06-13 |
| Find all providers in HICKORY | ||||
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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.