NEW HOPE SPECIALTY CLINIC (NPI# 1093081762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093081762 |
Entity Type | Organization |
Organization Name | NEW HOPE SPECIALTY CLINIC |
Practice Address |
3101 Latrobe Dr Charlotte NC 28211-4849 |
Practice Telephone | 7048178331 |
Practice Fax Number | 7048178795 |
Mailing Telephone | 7048178331 |
Mailing Fax Number | 7048178795 |
Enumeration Date | 2012-03-28 |
Last Update Date | 2020-10-05 |
Authorized Official Name | KURIAN CHIRAMEL ABRAHAM (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7048178331 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
200100821 | NC | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
200100821 | NC | Allopathic & Osteopathic Physicians |
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
200100821 | NC | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
218 Baldwin Ave, Charlotte, NC 282043110 | 7048178331 | 7048178795 |
Street Address |
3101 LATROBE DR |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-4849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891754297 | Kurian Chiramel Abraham | Specialist | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-03-23 |
1497222426 | Jessy George | Nurse Practitioner | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2018-10-29 |
1427384189 | Mary Elizabeth Lowe | Physician Assistant | 3101 Latrobe Dr, Suite # 100, Charlotte, NC 28211-4849 | 2009-10-30 |
1457506909 | Todd Harold St. John | Nurse Practitioner | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2008-11-25 |
1962689729 | Tene Akua Osahar | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2008-01-23 |
1003007964 | Olga Maria Kramer | Physician Assistant | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2007-08-06 |
1215060835 | Michael W. Reynolds | Physician Assistant | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2007-03-13 |
1184795031 | Robert Driver | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-11-13 |
1780790188 | David Steven Lancaster II | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-08-21 |
1932119088 | Jonathan Millard | Emergency Medicine | 3101 Latrobe Dr, Charlotte, NC 28211-4849 | 2006-08-09 |
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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 | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447753777 | Pyb, PC | Psychiatry & Neurology | 1110 Se Cary Pkwy Ste 201, Cary, NC 27518-7420 | 2018-03-13 |
1053428441 | Jill Heath | Psychiatry & Neurology | 223 E Chestnut St Ste 4, Asheville, NC 28801-2480 | 2006-08-23 |
1952357949 | Thomas C Goodwin | Psychiatry & Neurology | 90 Southside Avenue, Suite 300, Asheville, NC 28801-4100 | 2006-05-25 |
1447213855 | Christopher Mark Mckinley | Psychiatry & Neurology | 2050 Mercantile Dr, Leland, NC 28451-4053 | 2006-04-07 |
1801398805 | Kristin Mcarthur, Md, Pllc | Psychiatry & Neurology | 1250 Se Maynard Rd Ste 204, Cary, NC 27511-6947 | 2018-03-06 |
1548535107 | North Carolina Elderly Psychiatric | Psychiatry & Neurology | 606 Wade Ave, Raleigh, NC 27605-1390 | 2012-03-15 |
1144533944 | Geriatric Neuropsychiatry Services, Pllc | Psychiatry & Neurology | 5407 Sky Lane Dr, Durham, NC 27704-3953 | 2010-07-21 |
1184957201 | Justin Gettings | Psychiatry & Neurology | University of North Carolina, Cb# 7160, Chapel Hill, NC 27599-7160 | 2009-09-08 |
1649428848 | Novant Medical Group, Inc. | Psychiatry & Neurology | 1904 Jake Alexander Blvd W, Suite 301, Salisbury, NC 28147-1178 | 2008-09-03 |
1669651667 | Rasheed A Onafuye | Psychiatry & Neurology | 701 E Roosevelt Blvd, Suite 320, Monroe, NC 28112-5170 | 2007-10-26 |
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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.