NOVANT MEDICAL GROUP INC (NPI# 1154765832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154765832 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC |
| Other Organization Name | NOVANT HEALTH APPEL PLASTIC SURGERY |
| Practice Address |
1901 Brunswick Ave Suite 200 Charlotte NC 28207-2809 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043165025 |
| Practice Fax Number | 7043165022 |
| Mailing Telephone | 7043165025 |
| Mailing Fax Number | 7043165022 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043165025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2010-01097 | NC | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 2010-01097 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Appel Plastic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
| 1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
| 1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
| 1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
| 1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
| Street Address |
1901 BRUNSWICK AVE SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922048313 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1901 Brunswick Ave, Suite 240, Charlotte, NC 28207-2809 | 2006-06-07 |
| 1992191001 | Jennifer Little | Physician Assistant | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2015-04-15 |
| 1851609093 | Donald D. Fraser, M.d., P.a. | Clinic/Center | 1901 Brunswick Ave, Suite 240, Charlotte, NC 28207-2809 | 2010-09-22 |
| 1952533457 | Melanie H Brocato | Orthotist | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2009-08-17 |
| 1912170119 | James Ziegler Appel IIi | Plastic Surgery | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2008-04-08 |
| 1629264171 | Christina M Hinton | Prosthetist | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2007-09-19 |
| 1073739991 | Alexander Rossitch | Dentist | 1901 Brunswick Ave, Suite 250, Charlotte, NC 28207-2809 | 2007-04-18 |
| 1396891933 | James Lewis Wallace Jr. | Orthotist | 1901 Brunswick Ave, Suite 200, Charlotte, NC 28207-2809 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1639479595 | Edward Joseph Bednar | Plastic Surgery | 439 N Wendover Rd, Charlotte, NC 28211-1064 | 2010-10-26 |
| 1053452615 | Jarrod Ryan Daniel | Plastic Surgery | 2215 Randolph Road, Charlotte, NC 28207 | 2007-02-08 |
| 1255479895 | Adam Christian Augenstein | Plastic Surgery | 11835 Southmore Dr, Ste 202, Charlotte, NC 28277-4466 | 2007-02-04 |
| 1851452296 | Kenneth Penn Bullard | Plastic Surgery | 1225 Charter Place, Charlotte, NC 28211-5503 | 2006-12-12 |
| 1144328493 | Michael H Carstens | Plastic Surgery | 1719 South Blvd # B, Charlotte, NC 28203-4727 | 2006-09-20 |
| 1902888977 | Hope Sherie | Plastic Surgery | 325 Arlington Ave # B, Charlotte, NC 28203-4271 | 2005-11-16 |
| 1124029707 | Gregory Allen Mantooth | Plastic Surgery | 5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5732 | 2005-08-09 |
| 1912370602 | Aesthetic Surgery of Charlotte Pllc | Plastic Surgery | 11835 Southmore Dr, Suite 202, Charlotte, NC 28277-4466 | 2015-11-04 |
| 1225437643 | Queen City Plastic Surgery Pllc | Plastic Surgery | 3025 Springbank Ln, Suite 240, Charlotte, NC 28226-3362 | 2014-08-21 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on NOVANT MEDICAL GROUP INC.
| 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.