CENTRO MEDICO LATINO, PC (NPI# 1164884821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164884821 |
| Entity Type | Organization |
| Organization Name | CENTRO MEDICO LATINO, PC |
| Practice Address |
3541 Randolph Rd Ste 303 Charlotte NC 28211-1082 |
| Practice Telephone | 7043330465 |
| Practice Fax Number | 7043330466 |
| Mailing Telephone | 7043330465 |
| Mailing Fax Number | 7043330466 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | CARLOS MEYER RISH (OWNER/MEDICAL DOCTOR) |
| Authorized Official Telephone | 7043330465 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3541 RANDOLPH RD STE 303 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022344 | Carol Myrtle Green | Physical Therapist | 3541 Randolph Rd, Ste 100w, Charlotte, NC 28211-1082 | 2005-12-02 |
| 1134744428 | Elisa Shipley | Pharmacist | 3541 Randolph Rd, Charlotte, NC 28211-1082 | 2020-06-11 |
| 1194215855 | Kelsey Mangan | Social Worker | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2018-05-17 |
| 1598261703 | Christie Dehoff | Nurse Practitioner | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2018-04-05 |
| 1154771418 | Margaret Mcbride Hanna | Physical Therapist | 3541 Randolph Rd, Suite 100, Charlotte, NC 28211-1082 | 2016-06-17 |
| 1780039214 | Jessica Busick | Counselor | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2016-05-03 |
| 1659736239 | Samantha Doan | Nurse Practitioner | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2015-12-23 |
| 1073988838 | Mariane M. Franceschi Malucelli | Physical Therapist | 3541 Randolph Rd, Suite 100w, Charlotte, NC 28211-1082 | 2015-12-04 |
| 1699145722 | Heather Nelson | Nurse Practitioner | 3541 Randolph Rd, Ste 101, Charlotte, NC 28211-1082 | 2015-10-01 |
| 1770952111 | Katrina Dedona | Psychologist | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2015-09-16 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745985 | Alegis Care - North Carolina PC | Family Medicine | 11016 Rushmore Dr Ste 300, Charlotte, NC 28277-3651 | 2020-09-18 |
| 1902411077 | Carolina Medical Partners Pllc | Family Medicine | 10535 Flennigan Way, Charlotte, NC 28277-1417 | 2020-09-15 |
| 1083226906 | Relymd Medical Group Nc, Pllc | Family Medicine | 212 S Tryon St Ste 1000, Charlotte, NC 28281-0001 | 2020-08-21 |
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1881223139 | Renew Health and Wellness | Family Medicine | 9010 Glenwater Dr Ste 102, Charlotte, NC 28262-8593 | 2020-04-07 |
| 1164052957 | Partners In Integrated Healthcare & Wellness Pllc | Family Medicine | 9414b Albemarle Rd, Charlotte, NC 28227-3346 | 2020-01-21 |
| 1578103636 | Madelyn Laine Eudy | Family Medicine | 15640 Don Lochman Ln Ste A, Charlotte, NC 28277-4793 | 2020-01-07 |
| 1518514686 | L'renda Arkie Adams | Family Medicine | 8724 Bodkin Ct, Charlotte, NC 28215-7356 | 2019-08-22 |
| 1952956419 | Heather Marie Anderson | Family Medicine | 6404 Albemarle Rd Ste J&k, Charlotte, NC 28212-3800 | 2019-08-01 |
| 1003460213 | Companion Health, Pllc | Family Medicine | 5029 Lady Fern Cir, Charlotte, NC 28211-4182 | 2019-07-25 |
| Find all providers in CHARLOTTE | ||||
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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.