REJUV INTEGRATED MEDICINE, PLLC (NPI# 1134752025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134752025 |
| Entity Type | Organization |
| Organization Name | REJUV INTEGRATED MEDICINE, PLLC |
| Practice Address |
10210 Hickorywood Hill Ave Ste 200 Huntersville NC 28078-3417 |
| Mailing Address |
Po Box 1231 Bryson City NC 28713-1231 |
| Practice Telephone | 7042749084 |
| Practice Fax Number | 8285384441 |
| Mailing Telephone | 8886933410 |
| Mailing Fax Number | 8285384441 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | CHRISTINA MARIE HARRISON (PRESIDENT) |
| Authorized Official Telephone | 7042749084 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RR MEDICARE | DZ8771 | 01 |
| NC | UHC | GD-18423957 | 01 |
| NC | 1134752025 | 05 | |
| NC | BCBS NC | 02G96 | 01 |
| NC | MEDICARE PTAN | J931 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215562079 | Rejuv Integrated Medicine, Pllc | Prosthetic/Orthotic Supplier | 10210 Hickorywood Hill Ave Ste 200, Huntersville, NC 28078-3417 | 2020-03-11 |
| Street Address |
10210 HICKORYWOOD HILL AVE STE 200 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245620079 | Christina Harrison | Nurse Practitioner | 10210 Hickorywood Hill Ave Ste 200, Huntersville, NC 28078-3417 | 2015-02-02 |
| 1215562079 | Rejuv Integrated Medicine, Pllc | Prosthetic/Orthotic Supplier | 10210 Hickorywood Hill Ave Ste 200, Huntersville, NC 28078-3417 | 2020-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1417334780 | Nazer Pllc | Internal Medicine | 9815 Sam Furr Rd Ste J, Pox 310, Huntersville, NC 28078-4973 | 2015-05-06 |
| 1194161323 | Brittany Venci Seminara | Internal Medicine | 16455 Statesville Rd Ste 360, Huntersville, NC 28078-7139 | 2013-05-15 |
| 1235428103 | Alexis Christine Smith | Internal Medicine | 10030 Gilead Rd Ste 300, Huntersville, NC 28078-7545 | 2011-03-31 |
| 1669797536 | Mecklenburg Medical Group | Internal Medicine | 16455 Statesville Road, Suite 200, Huntersville, NC 28078-7125 | 2010-04-02 |
| 1164551198 | Alison Joan Johnson | Internal Medicine | 9615 Kincey Ave Ste 210, Huntersville, NC 28078-9140 | 2007-03-05 |
| 1407937972 | Rosedale Health & Wellness | Internal Medicine | 103 Commmerce Centre Drive, Suite 103, Huntersville, NC 28078 | 2006-10-18 |
| 1912933219 | Access Health and Medicine | Internal Medicine | 103 Commerce Center Dr, Huntersville, NC 28078-5869 | 2006-06-25 |
| 1508892746 | Carolinas Physicians Network Inc | Internal Medicine | 12905 Rosedale Hill Ave, Huntersville, NC 28078-3341 | 2006-06-22 |
| 1811949308 | William R Mitchell | Internal Medicine | 10030 Gilead Rd., Suite 344, Huntersville, NC 28078-7545 | 2006-05-16 |
| 1013969674 | Novant Medical Group, Inc. | Internal Medicine | 9615 Kincey Avenue, Suite 100, Huntersville, NC 28078-9140 | 2006-05-16 |
| Find all providers in HUNTERSVILLE | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.